| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,284.00 | $1,284.00 | $1,284.00 | |
Providence
| Facility | $625.92 | $1,377.35 | $1,509.15 |
Repair oval window fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,284.00 | $1,284.00 | $1,284.00 | |
Providence
| Facility | $625.92 | $1,377.35 | $1,509.15 |