| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,133.57 | $1,299.94 | $5,000.00 | |
Medica
| Facility | $1,133.57 | $1,568.84 | $2,204.14 |
Excision of malignant tumor of maxilla or zygoma
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,133.57 | $1,299.94 | $5,000.00 | |
Medica
| Facility | $1,133.57 | $1,568.84 | $2,204.14 |