| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.40 | $4,558.00 | $9,784.00 | |
Horizon BCBS
| Facility | $1,900.21 | $2,195.32 | $2,591.61 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |
Peritoneal Lavage W/Wo Imaging Guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.40 | $4,558.00 | $9,784.00 | |
Horizon BCBS
| Facility | $1,900.21 | $2,195.32 | $2,591.61 | |
United
| Facility | $3,204.00 | $5,225.00 | $10,536.00 |