| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.60 | $563.60 | $563.60 | |
Aetna
| Professional | $406.16 | $563.60 | $589.91 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |
Oroantral Fistula Closure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.60 | $563.60 | $563.60 | |
Aetna
| Professional | $406.16 | $563.60 | $589.91 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |