| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.06 | $74.06 | $74.06 | |
Aetna
| Professional | $67.48 | $74.06 | $201.68 |
Placement Of Device To Facilitate Eruption Of Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.06 | $74.06 | $74.06 | |
Aetna
| Professional | $67.48 | $74.06 | $201.68 |