| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,660.00 | $12,660.00 | $12,660.00 | |
Cigna
| Facility | $16,830.16 | $16,830.16 | $16,830.16 | |
Highmark BCBS
| Facility | $28,590.96 | $28,590.96 | $28,590.96 |
Uncomplicated peptic ulcer w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,660.00 | $12,660.00 | $12,660.00 | |
Cigna
| Facility | $16,830.16 | $16,830.16 | $16,830.16 | |
Highmark BCBS
| Facility | $28,590.96 | $28,590.96 | $28,590.96 |