| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
MountainHealth Co-op
| Facility | $3,235.94 | $3,311.31 | $3,715.35 | |
Providence
| Facility | $1,905.46 | $2,630.27 | $4,677.35 |
Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
MountainHealth Co-op
| Facility | $3,235.94 | $3,311.31 | $3,715.35 | |
Providence
| Facility | $1,905.46 | $2,630.27 | $4,677.35 |