| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $440.00 | $440.00 | |
Medica
| Facility | $19.59 | $84.50 | $3,700.00 |
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 | $35.00 | $440.00 | $440.00 | |
Medica
| Facility | $19.59 | $84.50 | $3,700.00 |