| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,488.17 | $15,488.17 | $15,488.17 | |
Cigna
| Facility | $43,651.58 | $43,651.58 | $43,651.58 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |
Non-extensive O.R. proc unrelated to principal diagnosis w CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,488.17 | $15,488.17 | $15,488.17 | |
Cigna
| Facility | $43,651.58 | $43,651.58 | $43,651.58 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |