| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $1,288.25 | $1,995.26 | |
BCBS
| Facility | $512.86 | $512.86 | $512.86 | |
Cigna
| Facility | $416.87 | $478.63 | $851.14 | |
United
| Facility | $616.60 | $1,479.11 | $3,090.30 |
Peritoneal lavage, including imaging guidance, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $1,288.25 | $1,995.26 | |
BCBS
| Facility | $512.86 | $512.86 | $512.86 | |
Cigna
| Facility | $416.87 | $478.63 | $851.14 | |
United
| Facility | $616.60 | $1,479.11 | $3,090.30 |