| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $306.20 | $343.10 | $632.99 | |
Medica
| Facility | $324.58 | $487.14 | $1,173.58 | |
Medica
| Professional | $3,763.97 | $3,763.97 | $3,763.97 |
Oroantral Fistula Closure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $306.20 | $343.10 | $632.99 | |
Medica
| Facility | $324.58 | $487.14 | $1,173.58 | |
Medica
| Professional | $3,763.97 | $3,763.97 | $3,763.97 |