| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $25,226.05 | $25,226.05 | $25,226.05 | |
Providence
| Facility | $10,140.76 | $10,140.76 | $25,226.05 |
Complicated peptic ulcer with CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $25,226.05 | $25,226.05 | $25,226.05 | |
Providence
| Facility | $10,140.76 | $10,140.76 | $25,226.05 |