| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $534.46 | $7,799.00 | $21,886.00 | |
Medcost
| Facility | $448.64 | $601.24 | $1,004.95 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $534.46 | $7,799.00 | $21,886.00 | |
Medcost
| Facility | $448.64 | $601.24 | $1,004.95 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |