| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.53 | $2,870.00 | $4,316.46 | |
Regence BlueShield
| Facility | $1,312.82 | $1,732.91 | $2,525.35 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |
Ndsc Eval Intstinal Pouch W/Bx Single/Multiple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.53 | $2,870.00 | $4,316.46 | |
Regence BlueShield
| Facility | $1,312.82 | $1,732.91 | $2,525.35 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |