| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $398.11 | $512.86 | $776.25 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |
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 | $467.74 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $398.11 | $512.86 | $776.25 | |
United
| Facility | $2,884.03 | $5,128.61 | $13,803.84 |