| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $418.24 | $504.00 | $504.00 |
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 | $418.24 | $504.00 | $504.00 |