| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $840.00 | $888.00 | |
Kaiser Permanente
| Professional | $563.28 | $563.28 | $608.00 |
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $840.00 | $888.00 | |
Kaiser Permanente
| Professional | $563.28 | $563.28 | $608.00 |