| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.83 | $248.83 | $434.47 | |
Aetna
| Professional | $248.83 | $394.97 | $434.82 | |
BCBS
| Professional | $303.00 | $303.00 | $303.00 | |
Molina
| Professional | $21.25 | $42.50 | $50.00 |
Oroantral Fistula Closure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.83 | $248.83 | $434.47 | |
Aetna
| Professional | $248.83 | $394.97 | $434.82 | |
BCBS
| Professional | $303.00 | $303.00 | $303.00 | |
Molina
| Professional | $21.25 | $42.50 | $50.00 |