| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.74 | $1,277.00 | $3,109.00 | |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $1,565.00 | $2,626.00 | $6,957.00 |
Omental flap, intra-abdominal (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.74 | $1,277.00 | $3,109.00 | |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
United
| Facility | $1,565.00 | $2,626.00 | $6,957.00 |