| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $121.52 | $121.52 | $699.00 |
Peritoneal Lavage W/Wo Imaging Guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $121.52 | $121.52 | $699.00 |