| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.81 | $960.81 | $8,500.00 | |
Medica
| Facility | $898.67 | $1,211.10 | $2,072.48 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Exc Local Ulcer/Benign Tumor Stomach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.81 | $960.81 | $8,500.00 | |
Medica
| Facility | $898.67 | $1,211.10 | $2,072.48 | |
United
| Facility | $681.00 | $681.00 | $681.00 |