| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $6,025.60 | $10,964.78 | |
Anthem BCBS
| Facility | $8,317.64 | $15,135.61 | $16,595.87 | |
United
| Facility | $6,456.54 | $10,471.29 | $16,218.10 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $6,025.60 | $10,964.78 | |
Anthem BCBS
| Facility | $8,317.64 | $15,135.61 | $16,595.87 | |
United
| Facility | $6,456.54 | $10,471.29 | $16,218.10 |