| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.16 | $487.67 | $589.91 | |
Moda Health
| Facility | $406.16 | $637.19 | $755.08 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |
Oroantral Fistula Closure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.16 | $487.67 | $589.91 | |
Moda Health
| Facility | $406.16 | $637.19 | $755.08 | |
Molina
| Professional | $30.00 | $2,000.00 | $3,900.00 |