| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $102.33 | $123.03 | $181.97 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |
Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $102.33 | $123.03 | $181.97 | |
United
| Facility | $1,071.52 | $4,466.84 | $5,128.61 |