| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,334.00 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,833.36 | $9,751.58 | $13,652.21 | |
Providence
| Facility | $1,833.36 | $9,751.58 | $13,652.21 |
Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,334.00 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,833.36 | $9,751.58 | $13,652.21 | |
Providence
| Facility | $1,833.36 | $9,751.58 | $13,652.21 |