| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $954.99 | $954.99 | $954.99 | |
MountainHealth Co-op
| Facility | $977.24 | $1,047.13 | $1,202.26 | |
Providence
| Facility | $549.54 | $870.96 | $977.24 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $954.99 | $954.99 | $954.99 | |
MountainHealth Co-op
| Facility | $977.24 | $1,047.13 | $1,202.26 | |
Providence
| Facility | $549.54 | $870.96 | $977.24 |