| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $45,683.94 | $45,683.94 | $45,683.94 | |
Providence
| Facility | $17,657.33 | $17,657.33 | $45,683.94 |
Complicated Peptic Ulcer With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $45,683.94 | $45,683.94 | $45,683.94 | |
Providence
| Facility | $17,657.33 | $17,657.33 | $45,683.94 |