| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,470.45 | $1,470.45 | $1,470.45 | |
Kaiser Permanente
| Professional | $836.67 | $1,112.77 | $1,866.94 |
Repair Oval Window Fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,470.45 | $1,470.45 | $1,470.45 | |
Kaiser Permanente
| Professional | $836.67 | $1,112.77 | $1,866.94 |