| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $407.38 | $436.52 | |
Medica
| Facility | $19.50 | $2,511.89 | $3,715.35 |
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 | $34.67 | $407.38 | $436.52 | |
Medica
| Facility | $19.50 | $2,511.89 | $3,715.35 |