| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $12,617.74 | $12,617.74 | $12,617.74 | |
United
| Facility | $12,617.74 | $12,617.74 | $12,617.74 |
Appendectomy With Complicated Principal Diagnosis With Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $12,617.74 | $12,617.74 | $12,617.74 | |
United
| Facility | $12,617.74 | $12,617.74 | $12,617.74 |