| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,543.75 | $1,543.75 | $1,543.75 | |
Providence
| Facility | $949.78 | $1,280.26 | $1,771.00 |
Exc Local Ulcer/Benign Tumor Stomach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,543.75 | $1,543.75 | $1,543.75 | |
Providence
| Facility | $949.78 | $1,280.26 | $1,771.00 |