| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,908.68 | $22,908.68 | $22,908.68 | |
Cigna
| Facility | $64,565.42 | $64,565.42 | $64,565.42 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |
Extensive O.R. procedure unrelated to principal diagnosis w CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22,908.68 | $22,908.68 | $22,908.68 | |
Cigna
| Facility | $64,565.42 | $64,565.42 | $64,565.42 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |