| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $535.11 | $2,853.76 | $3,995.26 | |
Providence
| Facility | $535.11 | $2,853.76 | $3,995.26 |
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $535.11 | $2,853.76 | $3,995.26 | |
Providence
| Facility | $535.11 | $2,853.76 | $3,995.26 |