| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.64 | $108.64 | $108.64 | |
Aetna
| Professional | $107.62 | $108.64 | $117.18 | |
BCBS
| Professional | $233.13 | $234.88 | $276.33 | |
Medica
| Facility | $99.38 | $108.64 | $325.92 |
Removal Of Residual Tooth Roots (Cutting Procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.64 | $108.64 | $108.64 | |
Aetna
| Professional | $107.62 | $108.64 | $117.18 | |
BCBS
| Professional | $233.13 | $234.88 | $276.33 | |
Medica
| Facility | $99.38 | $108.64 | $325.92 |