| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $629.08 | $1,385.98 | $1,385.98 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $629.08 | $1,385.98 | $1,385.98 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |