| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,984.08 | $3,029.20 | |
CareSource
| Facility | $2,057.07 | $2,345.89 | $2,555.89 | |
Cigna
| Facility | $2,207.21 | $2,207.21 | $2,207.21 |
Revision Open Gastric Restrictive Px Not Device
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,400.00 | $1,984.08 | $3,029.20 | |
CareSource
| Facility | $2,057.07 | $2,345.89 | $2,555.89 | |
Cigna
| Facility | $2,207.21 | $2,207.21 | $2,207.21 |