| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $13,995.34 | $13,995.34 | $13,995.34 | |
Priority Health
| Facility | $13,995.34 | $13,995.34 | $13,995.34 |
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $13,995.34 | $13,995.34 | $13,995.34 | |
Priority Health
| Facility | $13,995.34 | $13,995.34 | $13,995.34 |