| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.01 | $170.01 | $1,400.00 | |
CareSource
| Facility | $172.62 | $197.66 | $215.37 | |
Cigna
| Facility | $185.77 | $185.77 | $185.77 |
Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.01 | $170.01 | $1,400.00 | |
CareSource
| Facility | $172.62 | $197.66 | $215.37 | |
Cigna
| Facility | $185.77 | $185.77 | $185.77 |