| 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 | $837.00 | $1,113.21 | $1,868.47 |
Repair Round 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 | $837.00 | $1,113.21 | $1,868.47 |