| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.64 | $4,848.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $997.59 | $1,963.78 | $2,180.44 | |
United
| Facility | $7,840.00 | $12,698.00 | $20,833.00 |
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,122.64 | $4,848.00 | $6,456.00 | |
Kaiser Permanente
| Professional | $997.59 | $1,963.78 | $2,180.44 | |
United
| Facility | $7,840.00 | $12,698.00 | $20,833.00 |