| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $870.96 | $7,762.47 | |
Providence
| Facility | $602.56 | $794.33 | $1,318.26 | |
United
| Facility | $891.25 | $11,220.18 | $25,703.96 |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $870.96 | $7,762.47 | |
Providence
| Facility | $602.56 | $794.33 | $1,318.26 | |
United
| Facility | $891.25 | $11,220.18 | $25,703.96 |