| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Kaiser Permanente
| Professional | $302.00 | $363.08 | $457.09 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |
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 | $2,818.38 | $2,818.38 | $2,818.38 | |
Kaiser Permanente
| Professional | $302.00 | $363.08 | $457.09 | |
United
| Facility | $2,884.03 | $2,884.03 | $2,884.03 |