| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.77 | $542.77 | $542.77 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Martin's Point
| Facility | $542.77 | $542.77 | $542.77 |
Unlisted Procedure Stomach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.77 | $542.77 | $542.77 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Martin's Point
| Facility | $542.77 | $542.77 | $542.77 |