| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.62 | $112.56 | $137.21 | |
Moda Health
| Facility | $85.22 | $129.11 | $175.63 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |
Removal Of Residual Tooth Roots (Cutting Procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.62 | $112.56 | $137.21 | |
Moda Health
| Facility | $85.22 | $129.11 | $175.63 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |