| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.90 | $3,064.00 | $4,707.00 | |
Regence BlueShield
| Facility | $1,338.59 | $1,718.74 | $2,504.69 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |
Peritoneal Lavage W/Wo Imaging Guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.90 | $3,064.00 | $4,707.00 | |
Regence BlueShield
| Facility | $1,338.59 | $1,718.74 | $2,504.69 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |