| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.73 | $1,670.12 | $4,312.00 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
Injection Sinus Tract Diagnostic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.73 | $1,670.12 | $4,312.00 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |