| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.16 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $4,958.18 | $6,017.00 | $8,094.79 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |
Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $926.16 | $1,268.00 | $2,250.00 | |
BCBS
| Facility | $4,958.18 | $6,017.00 | $8,094.79 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |