| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $1,513.56 | $2,398.83 | |
BCBS
| Facility | $4,786.30 | $5,754.40 | $7,762.47 | |
United
| Facility | $1,479.11 | $4,365.16 | $6,918.31 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $1,513.56 | $2,398.83 | |
BCBS
| Facility | $4,786.30 | $5,754.40 | $7,762.47 | |
United
| Facility | $1,479.11 | $4,365.16 | $6,918.31 |