| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $35.00 | $440.00 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Medica
| Facility | $16.39 | $22.44 | $59.15 |
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 | $35.00 | $35.00 | $440.00 | |
BCBS
| Facility | $0.95 | $1.00 | $1.00 | |
Medica
| Facility | $16.39 | $22.44 | $59.15 |