| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67,539.50 | $83,389.00 | $114,385.00 | |
Cigna
| Facility | $57,967.39 | $74,560.84 | $140,207.85 | |
United
| Facility | $24,324.50 | $62,626.58 | $109,859.65 |
Non-extensive OR procedures unrelated to principal diagnosis with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67,539.50 | $83,389.00 | $114,385.00 | |
Cigna
| Facility | $57,967.39 | $74,560.84 | $140,207.85 | |
United
| Facility | $24,324.50 | $62,626.58 | $109,859.65 |