| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Cigna
| Facility | $4,371.00 | $4,371.00 | $4,371.00 | |
United
| Facility | $1,248.00 | $2,200.00 | $2,200.00 |
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Cigna
| Facility | $4,371.00 | $4,371.00 | $4,371.00 | |
United
| Facility | $1,248.00 | $2,200.00 | $2,200.00 |