| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.85 | $95.85 | $95.85 | |
Aetna
| Professional | $95.85 | $95.85 | $137.21 | |
Molina
| Professional | $45.00 | $45.00 | $177.26 |
Removal Of Residual Tooth Roots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.85 | $95.85 | $95.85 | |
Aetna
| Professional | $95.85 | $95.85 | $137.21 | |
Molina
| Professional | $45.00 | $45.00 | $177.26 |