| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.26 | $958.75 | $4,242.71 | |
CareSource
| Facility | $83.20 | $213.00 | $544.00 | |
Medical Mutual of Ohio
| Facility | $13.26 | $165.75 | $1,519.80 |
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 | $303.26 | $958.75 | $4,242.71 | |
CareSource
| Facility | $83.20 | $213.00 | $544.00 | |
Medical Mutual of Ohio
| Facility | $13.26 | $165.75 | $1,519.80 |