| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,215.69 | $2,215.69 | $8,500.00 | |
Medica
| Facility | $2,085.85 | $2,787.81 | $4,790.22 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Gstrct Tot W/Roux-En-Y Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,215.69 | $2,215.69 | $8,500.00 | |
Medica
| Facility | $2,085.85 | $2,787.81 | $4,790.22 | |
United
| Facility | $681.00 | $681.00 | $681.00 |