| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.30 | $1,688.00 | $9,477.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.30 | $1,688.00 | $9,477.00 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |