| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $166.68 | $166.68 | $166.68 | |
Providence
| Facility | $83.05 | $108.08 | $215.95 |
Peritoneal Lavage W/Wo Imaging Guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $166.68 | $166.68 | $166.68 | |
Providence
| Facility | $83.05 | $108.08 | $215.95 |