| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,665.05 | $10,693.00 | $17,884.88 | |
Moda Health
| Facility | $1,116.90 | $4,848.76 | $6,933.73 | |
Providence
| Facility | $1,116.90 | $4,848.76 | $6,933.73 |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,665.05 | $10,693.00 | $17,884.88 | |
Moda Health
| Facility | $1,116.90 | $4,848.76 | $6,933.73 | |
Providence
| Facility | $1,116.90 | $4,848.76 | $6,933.73 |