| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $820.12 | $840.43 | $840.43 | |
Anthem BCBS
| Professional | $708.00 | $840.40 | $1,148.16 | |
Harvard Pilgrim
| Professional | $959.67 | $1,903.79 | $3,161.25 |
Oroantral Fistula Closure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $820.12 | $840.43 | $840.43 | |
Anthem BCBS
| Professional | $708.00 | $840.40 | $1,148.16 | |
Harvard Pilgrim
| Professional | $959.67 | $1,903.79 | $3,161.25 |