| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $889.55 | $1,876.89 | $1,876.89 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
Repair Oval Window Fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $5,076.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $889.55 | $1,876.89 | $1,876.89 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |