| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,981.00 | $11,981.00 | $11,981.00 | |
Cigna
| Facility | $15,763.01 | $15,763.01 | $15,763.01 | |
Highmark BCBS
| Facility | $16,812.79 | $16,812.79 | $16,812.79 |
Complicated peptic ulcer w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,981.00 | $11,981.00 | $11,981.00 | |
Cigna
| Facility | $15,763.01 | $15,763.01 | $15,763.01 | |
Highmark BCBS
| Facility | $16,812.79 | $16,812.79 | $16,812.79 |