| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.63 | $136.63 | $136.63 | |
Providence
| Facility | $290.95 | $290.95 | $290.95 | |
Providence
| Professional | $136.84 | $205.28 | $296.10 |
I & D Abscess Intraoral Soft Tissue Complicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.63 | $136.63 | $136.63 | |
Providence
| Facility | $290.95 | $290.95 | $290.95 | |
Providence
| Professional | $136.84 | $205.28 | $296.10 |