| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $975.78 | $1,400.00 | $1,700.00 | |
CareSource
| Facility | $1,013.10 | $1,154.28 | $1,257.60 | |
Cigna
| Facility | $1,083.76 | $1,083.76 | $1,083.76 |
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 | $975.78 | $1,400.00 | $1,700.00 | |
CareSource
| Facility | $1,013.10 | $1,154.28 | $1,257.60 | |
Cigna
| Facility | $1,083.76 | $1,083.76 | $1,083.76 |