| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,021.00 | $28,021.00 | $28,021.00 | |
Cigna
| Facility | $12,864.04 | $21,663.44 | $22,038.12 | |
United
| Facility | $8,306.00 | $9,969.07 | $11,426.96 |
Complicated peptic ulcer without CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,021.00 | $28,021.00 | $28,021.00 | |
Cigna
| Facility | $12,864.04 | $21,663.44 | $22,038.12 | |
United
| Facility | $8,306.00 | $9,969.07 | $11,426.96 |