| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.61 | $1,305.00 | $3,804.00 | |
BCBS
| Facility | $839.58 | $839.58 | $957.12 | |
Cigna
| Facility | $471.20 | $515.00 | $561.00 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |
Peritoneal Lavage W/Wo Imaging Guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.61 | $1,305.00 | $3,804.00 | |
BCBS
| Facility | $839.58 | $839.58 | $957.12 | |
Cigna
| Facility | $471.20 | $515.00 | $561.00 | |
United
| Facility | $505.00 | $1,106.00 | $2,539.00 |