| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,265.80 | $12,589.25 | $12,589.25 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,265.80 | $12,589.25 | $12,589.25 |