| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.79 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $708.28 | $915.38 | $1,145.65 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |
Repair Round Window Fistula
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $862.79 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $708.28 | $915.38 | $1,145.65 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |