| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.62 | $142.90 | $142.90 | |
Anthem BCBS
| Professional | $137.50 | $151.00 | $196.03 | |
Harvard Pilgrim
| Professional | $163.13 | $323.64 | $537.40 |
Removal Of Residual Tooth Roots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.62 | $142.90 | $142.90 | |
Anthem BCBS
| Professional | $137.50 | $151.00 | $196.03 | |
Harvard Pilgrim
| Professional | $163.13 | $323.64 | $537.40 |