| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.81 | $2,755.50 | $5,272.20 | |
Emblem Health
| Facility | $600.00 | $600.00 | $600.00 |
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 | $33.81 | $2,755.50 | $5,272.20 | |
Emblem Health
| Facility | $600.00 | $600.00 | $600.00 |