| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,980.02 | $4,980.02 | $6,603.83 | |
Martin's Point
| Facility | $4,980.02 | $4,980.02 | $6,603.83 |
Tympnoplsty W/O Mstdc 1st/Revj W/Osicle Recnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,980.02 | $4,980.02 | $6,603.83 | |
Martin's Point
| Facility | $4,980.02 | $4,980.02 | $6,603.83 |