| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.81 | $367.14 | $426.56 | |
CareFirst
| Professional | $374.40 | $374.40 | $479.23 | |
Kaiser Permanente
| Professional | $383.69 | $494.96 | $1,105.80 |
Oroantral Fistula Closure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.81 | $367.14 | $426.56 | |
CareFirst
| Professional | $374.40 | $374.40 | $479.23 | |
Kaiser Permanente
| Professional | $383.69 | $494.96 | $1,105.80 |