| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $930.86 | $930.86 | $8,500.00 | |
Medica
| Facility | $930.86 | $1,295.58 | $2,446.56 | |
United
| Facility | $1,980.00 | $1,980.00 | $1,980.00 |
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 | $930.86 | $930.86 | $8,500.00 | |
Medica
| Facility | $930.86 | $1,295.58 | $2,446.56 | |
United
| Facility | $1,980.00 | $1,980.00 | $1,980.00 |