| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,678.80 | $3,297.62 | |
Anthem BCBS
| Facility | $33,725.69 | $37,473.00 | $53,343.00 | |
United
| Facility | $1,348.00 | $5,762.00 | $12,629.00 |
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 | $100.00 | $2,678.80 | $3,297.62 | |
Anthem BCBS
| Facility | $33,725.69 | $37,473.00 | $53,343.00 | |
United
| Facility | $1,348.00 | $5,762.00 | $12,629.00 |