| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $7,413.10 | $11,748.98 | |
Horizon BCBS
| Facility | $12,022.64 | $19,054.61 | $30,199.52 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $7,413.10 | $11,748.98 | |
Horizon BCBS
| Facility | $12,022.64 | $19,054.61 | $30,199.52 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |