| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $1,595.55 | $2,734.60 | $5,833.89 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |
Gstrct Tot W/Roux-En-Y Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $3,684.00 | $18,600.00 | |
Medica
| Facility | $1,595.55 | $2,734.60 | $5,833.89 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |