| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $4,570.88 | $13,803.84 | |
U of Utah Health Plan
| Professional | $2,137.96 | $2,570.40 | $3,801.89 | |
United
| Facility | $3,019.95 | $5,128.61 | $15,848.93 |
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $4,570.88 | $13,803.84 | |
U of Utah Health Plan
| Professional | $2,137.96 | $2,570.40 | $3,801.89 | |
United
| Facility | $3,019.95 | $5,128.61 | $15,848.93 |