| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.92 | $107.62 | $118.39 | |
Providence
| Facility | $182.79 | $182.79 | $182.79 | |
Providence
| Professional | $113.87 | $170.83 | $246.40 |
Removal Of Residual Tooth Roots (Cutting Procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.92 | $107.62 | $118.39 | |
Providence
| Facility | $182.79 | $182.79 | $182.79 | |
Providence
| Professional | $113.87 | $170.83 | $246.40 |