| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,535.33 | $1,535.33 | $10,000.00 | |
Medica
| Facility | $1,535.33 | $2,220.02 | $4,605.99 |
Tympanoplasty Mastoidectomy Rad/Compl W/Ocr
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,535.33 | $1,535.33 | $10,000.00 | |
Medica
| Facility | $1,535.33 | $2,220.02 | $4,605.99 |