| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $630.96 | $8,511.38 | |
Medica
| Facility | $575.44 | $933.25 | $1,737.80 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $630.96 | $8,511.38 | |
Medica
| Facility | $575.44 | $933.25 | $1,737.80 | |
United
| Facility | $7,943.28 | $8,912.51 | $8,912.51 |