| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.61 | $335.61 | $335.61 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |
Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.61 | $335.61 | $335.61 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |