| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.46 | $107.45 | $187.00 | |
BCBS
| Facility | $27.26 | $27.26 | $30.29 |
Plcmt Device Facilitate Eruption Impacted Tooth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.46 | $107.45 | $187.00 | |
BCBS
| Facility | $27.26 | $27.26 | $30.29 |