| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.18 | $78.18 | $78.18 | |
Aetna
| Professional | $78.18 | $107.62 | $117.53 |
Removal Of Residual Tooth Roots
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.18 | $78.18 | $78.18 | |
Aetna
| Professional | $78.18 | $107.62 | $117.53 |