This should not be a recurrent/routine procedure.  You need earwax in your
ear canal to serve as a protectant -- for the delicate ear drum, for the
delicate skin inside the canal.  Some people secrete more ear wax than
others.  Usually it's only a problem if you wind up with dry, hard, impacted
ear wax.   Ear wax normally works its way out of your canal gradually.

If you are in the habit of cleaning your ears with q-tips, you may think
that you are helping to remove wax or helping to dry your ears after a
shower/swimming.  You may see earwax on the end of the cotton swab and think
you're removing most of it.  In reality, the wax is so soft that you're just
packing it in deeper into the canal wtihout realizing it.  Once the wax gets
deep enough, it starts to dry and won't work its way out.

So the best way to save $200 is to avoid sticking anything in your ear
"bigger than your elbow."

There are over-the-counter ear wax removal "kits" --usually centered around
mineral oil or carbamide peroxide which serve to soften ear wax so it can
work its way out on its own.  You need to be careful with irrigating your
own ears because you can actually perforate (rupture) your ear drum if you
forcibly squirt water in there trying to flush out the ear wax.