| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.46 | $134.46 | $134.46 | |
Aetna
| Professional | $97.99 | $134.46 | $134.46 | |
BCBS
| Facility | $2,559.86 | $3,106.51 | $4,179.26 | |
BCBS
| Professional | $105.12 | $144.00 | $169.92 |
Removal Of Residual Tooth Roots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.46 | $134.46 | $134.46 | |
Aetna
| Professional | $97.99 | $134.46 | $134.46 | |
BCBS
| Facility | $2,559.86 | $3,106.51 | $4,179.26 | |
BCBS
| Professional | $105.12 | $144.00 | $169.92 |