| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,038.26 | $21,038.26 | $37,922.50 | |
Cigna
| Facility | $17,409.68 | $29,318.43 | $29,825.50 | |
United
| Facility | $8,306.00 | $10,063.00 | $15,464.80 |
Complicated peptic ulcer with CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,038.26 | $21,038.26 | $37,922.50 | |
Cigna
| Facility | $17,409.68 | $29,318.43 | $29,825.50 | |
United
| Facility | $8,306.00 | $10,063.00 | $15,464.80 |