| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,562.53 | $1,562.53 | $8,500.00 | |
Medica
| Facility | $1,292.00 | $1,974.28 | $3,371.34 | |
United
| Facility | $681.00 | $681.00 | $681.00 |
Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,562.53 | $1,562.53 | $8,500.00 | |
Medica
| Facility | $1,292.00 | $1,974.28 | $3,371.34 | |
United
| Facility | $681.00 | $681.00 | $681.00 |