| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $2,675.00 | $2,675.00 | $2,675.00 |
Unlisted Procedure Middle Ear
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareFirst
| Professional | $2,675.00 | $2,675.00 | $2,675.00 |