| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $691.83 | $1,174.90 | |
Cigna
| Professional | $346.74 | $758.58 | $1,412.54 | |
United
| Professional | $616.60 | $794.33 | $1,949.84 |
Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.78 | $691.83 | $1,174.90 | |
Cigna
| Professional | $346.74 | $758.58 | $1,412.54 | |
United
| Professional | $616.60 | $794.33 | $1,949.84 |