| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.10 | $116.29 | $138.99 | |
Aetna
| Professional | $75.37 | $116.29 | $138.99 |
Placement Of Device To Facilitate Eruption Of Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.10 | $116.29 | $138.99 | |
Aetna
| Professional | $75.37 | $116.29 | $138.99 |