| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,027.80 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,027.80 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |