| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.00 | $1,618.60 | $4,478.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Nasal/Sinus Ndsc Rpr Cerebrsp Fluid Leak Ethmoid
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.00 | $1,618.60 | $4,478.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |