| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,387.21 | $1,387.21 | $2,107.02 | |
CareSource
| Facility | $1,431.86 | $1,631.74 | $1,777.80 | |
Cigna
| Facility | $1,540.80 | $1,540.80 | $1,540.80 |
Gastrotomy; with suture repair of bleeding ulcer
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,387.21 | $1,387.21 | $2,107.02 | |
CareSource
| Facility | $1,431.86 | $1,631.74 | $1,777.80 | |
Cigna
| Facility | $1,540.80 | $1,540.80 | $1,540.80 |