| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $392.00 | $691.20 | $1,277.23 | |
CareSource
| Facility | $36.52 | $142.03 | $340.87 |
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 | $392.00 | $691.20 | $1,277.23 | |
CareSource
| Facility | $36.52 | $142.03 | $340.87 |