| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172,260.00 | $172,260.00 | $172,260.00 | |
Cigna
| Facility | $79,081.88 | $133,176.28 | $135,479.64 | |
United
| Facility | $8,306.00 | $10,063.00 | $70,247.42 |
Amputation for circulatory system disorders except upper limb and toe with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172,260.00 | $172,260.00 | $172,260.00 | |
Cigna
| Facility | $79,081.88 | $133,176.28 | $135,479.64 | |
United
| Facility | $8,306.00 | $10,063.00 | $70,247.42 |