| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,285.65 | $2,285.65 | $2,285.65 | |
Providence
| Facility | $1,411.51 | $1,890.94 | $2,623.61 |
Gstrct Prtl Dstl W/Gastroduodenostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,285.65 | $2,285.65 | $2,285.65 | |
Providence
| Facility | $1,411.51 | $1,890.94 | $2,623.61 |