| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,053.32 | $3,053.32 | $3,053.32 | |
Providence
| Facility | $1,783.11 | $2,550.48 | $3,490.14 |
Revision Open Gastric Restrictive Px Not Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,053.32 | $3,053.32 | $3,053.32 | |
Providence
| Facility | $1,783.11 | $2,550.48 | $3,490.14 |