| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $600.00 | $600.00 | |
Kaiser Permanente
| Professional | $178.11 | $280.00 | $524.79 |
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 | $600.00 | $600.00 | $600.00 | |
Kaiser Permanente
| Professional | $178.11 | $280.00 | $524.79 |