| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.55 | $244.55 | $244.55 | |
Aetna
| Professional | $107.62 | $244.55 | $244.55 | |
Anthem BCBS
| Professional | $128.35 | $170.37 | $310.88 |
Removal Of Residual Tooth Roots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.55 | $244.55 | $244.55 | |
Aetna
| Professional | $107.62 | $244.55 | $244.55 | |
Anthem BCBS
| Professional | $128.35 | $170.37 | $310.88 |