| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,885.17 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,347.02 | $7,102.84 | $9,943.98 | |
Providence
| Facility | $1,347.02 | $7,102.84 | $9,943.98 |
Gastrotomy; with suture repair of bleeding ulcer
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,885.17 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,347.02 | $7,102.84 | $9,943.98 | |
Providence
| Facility | $1,347.02 | $7,102.84 | $9,943.98 |