| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,255.00 | $20,255.00 | $20,255.00 | |
Cigna
| Facility | $27,184.60 | $27,184.60 | $27,184.60 |
Uncomplicated Peptic Ulcer With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,255.00 | $20,255.00 | $20,255.00 | |
Cigna
| Facility | $27,184.60 | $27,184.60 | $27,184.60 |