| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.54 | $5,982.00 | $11,298.00 | |
Aetna
| Professional | $230.40 | $243.20 | $267.60 |
Removal Of Impacted Tooth - Completely Bony, With Unusual Surgical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $236.54 | $5,982.00 | $11,298.00 | |
Aetna
| Professional | $230.40 | $243.20 | $267.60 |