| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,288.21 | $1,288.21 | $1,288.21 | |
Providence
| Facility | $626.19 | $1,381.25 | $1,511.68 |
Repair round window fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,288.21 | $1,288.21 | $1,288.21 | |
Providence
| Facility | $626.19 | $1,381.25 | $1,511.68 |