| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $12,515.51 | $12,515.51 | $13,154.77 |
Complicated peptic ulcer with CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $12,515.51 | $12,515.51 | $13,154.77 |