| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $134.90 | $851.14 | $1,096.48 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 |
Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $134.90 | $851.14 | $1,096.48 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 |