| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.02 | $706.30 | $16,467.00 | |
Cigna
| Facility | $100.00 | $535.00 | $570.00 | |
Medcost
| Facility | $263.99 | $328.97 | $555.04 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |
Splenc Tot En Bloc Extnsv Ds Conjunct W/Oth Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.02 | $706.30 | $16,467.00 | |
Cigna
| Facility | $100.00 | $535.00 | $570.00 | |
Medcost
| Facility | $263.99 | $328.97 | $555.04 | |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |