| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $940.61 | $7,763.36 | $7,763.36 | |
Medica
| Facility | $940.61 | $1,311.21 | $2,821.83 | |
United
| Facility | $3,960.00 | $3,960.00 | $3,960.00 |
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 | $940.61 | $7,763.36 | $7,763.36 | |
Medica
| Facility | $940.61 | $1,311.21 | $2,821.83 | |
United
| Facility | $3,960.00 | $3,960.00 | $3,960.00 |