| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,133.69 | $2,133.69 | $2,133.69 | |
Providence
| Facility | $1,309.01 | $1,754.70 | $2,428.17 |
Gastrotomy W/Suture Repair Bleeding Ulcer
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,133.69 | $2,133.69 | $2,133.69 | |
Providence
| Facility | $1,309.01 | $1,754.70 | $2,428.17 |