| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
Cigna
| Facility | $31,622.78 | $31,622.78 | $31,622.78 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |
Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,220.18 | $11,220.18 | $11,220.18 | |
Cigna
| Facility | $31,622.78 | $31,622.78 | $31,622.78 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |