| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,339.19 | $3,568.19 | |
CareSource
| Facility | $2,418.98 | $2,763.30 | $3,010.66 | |
Cigna
| Facility | $2,589.94 | $2,589.94 | $2,589.94 |
Gstrct Tot W/Roux-En-Y Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $2,339.19 | $3,568.19 | |
CareSource
| Facility | $2,418.98 | $2,763.30 | $3,010.66 | |
Cigna
| Facility | $2,589.94 | $2,589.94 | $2,589.94 |