| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,295.76 | $3,843.09 | |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $375.00 | $750.00 | $2,421.00 |
Gstrct Prtl Dstl W/Roux-En-Y Rcnstj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,295.76 | $3,843.09 | |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $375.00 | $750.00 | $2,421.00 |