| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $420.00 | $480.00 | |
Medica
| Facility | $40.00 | $40.00 | $42.00 |
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 | $40.00 | $420.00 | $480.00 | |
Medica
| Facility | $40.00 | $40.00 | $42.00 |