| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $346.74 | $8,511.38 | |
Medica
| Facility | $346.74 | $478.63 | $891.25 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,818.38 |
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 | $309.03 | $346.74 | $8,511.38 | |
Medica
| Facility | $346.74 | $478.63 | $891.25 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,818.38 |