| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $1,192.28 | $2,420.46 | |
Aetna
| Facility | QX | $562.65 | $562.65 | $602.16 |
Anes Intraperitoneal Upper Abdomen W/Laps Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $1,192.28 | $2,420.46 | |
Aetna
| Facility | QX | $562.65 | $562.65 | $602.16 |