| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,846.00 | $16,846.00 | $16,846.00 | |
Cigna
| Facility | $21,333.03 | $21,333.03 | $21,333.03 | |
Highmark BCBS
| Facility | $26,424.14 | $26,424.14 | $59,502.10 |
Complicated peptic ulcer w CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,846.00 | $16,846.00 | $16,846.00 | |
Cigna
| Facility | $21,333.03 | $21,333.03 | $21,333.03 | |
Highmark BCBS
| Facility | $26,424.14 | $26,424.14 | $59,502.10 |