| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $877.08 | $877.08 | $1,400.00 | |
CareSource
| Facility | $915.62 | $1,034.40 | $1,127.01 | |
Cigna
| Facility | $981.24 | $981.24 | $981.24 | |
Cigna
| Facility | AS | $96.41 | $96.41 | $96.41 |
Closure Enterostomy Lg/Small Intestine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $877.08 | $877.08 | $1,400.00 | |
CareSource
| Facility | $915.62 | $1,034.40 | $1,127.01 | |
Cigna
| Facility | $981.24 | $981.24 | $981.24 | |
Cigna
| Facility | AS | $96.41 | $96.41 | $96.41 |