| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.34 | $107.62 | $118.94 | |
Medica
| Facility | $102.34 | $118.28 | $221.43 | |
Medica
| Professional | $738.66 | $738.66 | $738.66 |
Removal Of Residual Tooth Roots (Cutting Procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.34 | $107.62 | $118.94 | |
Medica
| Facility | $102.34 | $118.28 | $221.43 | |
Medica
| Professional | $738.66 | $738.66 | $738.66 |