| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.24 | $4,540.00 | $10,692.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |
Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.24 | $4,540.00 | $10,692.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |