| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.33 | $2,562.00 | $4,050.00 | |
BCBS
| Facility | $1,172.73 | $2,489.96 | $3,645.25 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |
Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.33 | $2,562.00 | $4,050.00 | |
BCBS
| Facility | $1,172.73 | $2,489.96 | $3,645.25 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |