| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,377.49 | $1,377.49 | $10,000.00 | |
Medica
| Facility | $1,377.49 | $1,999.41 | $4,132.47 |
Tympp Antrt/Mastoid W/Ossicular Chain Recnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,377.49 | $1,377.49 | $10,000.00 | |
Medica
| Facility | $1,377.49 | $1,999.41 | $4,132.47 |