| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $3,388.44 | $4,677.35 | |
U of Utah Health Plan
| Professional | $144.54 | $173.78 | $257.04 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $3,388.44 | $4,677.35 | |
U of Utah Health Plan
| Professional | $144.54 | $173.78 | $257.04 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |