| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,437.00 | $1,437.00 | $1,437.00 | |
Aetna
| Professional | $632.99 | $1,437.00 | $1,437.00 | |
Anthem BCBS
| Professional | $601.79 | $839.65 | $1,091.02 |
Oroantral Fistula Closure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,437.00 | $1,437.00 | $1,437.00 | |
Aetna
| Professional | $632.99 | $1,437.00 | $1,437.00 | |
Anthem BCBS
| Professional | $601.79 | $839.65 | $1,091.02 |