| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.27 | $294.27 | $294.27 | |
BCBS
| Professional | $557.00 | $557.00 | $557.00 |
Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.27 | $294.27 | $294.27 | |
BCBS
| Professional | $557.00 | $557.00 | $557.00 |