| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $640.00 | $720.00 | |
CareSource
| Facility | $89.10 | $201.45 | $287.64 |
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 | $45.00 | $640.00 | $720.00 | |
CareSource
| Facility | $89.10 | $201.45 | $287.64 |