| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.47 | $473.47 | $1,400.00 | |
CareSource
| Facility | $484.33 | $484.33 | $606.80 | |
Cigna
| Facility | $519.14 | $519.14 | $519.14 |
Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.47 | $473.47 | $1,400.00 | |
CareSource
| Facility | $484.33 | $484.33 | $606.80 | |
Cigna
| Facility | $519.14 | $519.14 | $519.14 |