| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.95 | $580.95 | $8,500.00 | |
Medica
| Facility | $580.95 | $850.07 | $1,742.85 |
Sinusot Max Antrt Rad W/Rmvl Antroch Polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.95 | $580.95 | $8,500.00 | |
Medica
| Facility | $580.95 | $850.07 | $1,742.85 |