| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,036.11 | $1,036.11 | $8,500.00 | |
Medica
| Facility | $967.29 | $1,304.47 | $2,241.57 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Sutr Lg Intestine 1/Mult Perforat W/O Colostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,036.11 | $1,036.11 | $8,500.00 | |
Medica
| Facility | $967.29 | $1,304.47 | $2,241.57 | |
United
| Facility | $681.00 | $681.00 | $681.00 |