| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,229.45 | $12,229.45 | $15,407.25 | |
Martin's Point
| Facility | $12,229.45 | $12,229.45 | $15,407.25 |
Tmpp Mastoidect Ntc/Rcnsted Wall W/O Ocr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,229.45 | $12,229.45 | $15,407.25 | |
Martin's Point
| Facility | $12,229.45 | $12,229.45 | $15,407.25 |