| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,902.40 | $2,902.40 | $6,907.00 | |
Cigna
| Facility | $2,151.00 | $5,371.62 | $5,371.62 | |
United
| Facility | $1,924.00 | $2,783.00 | $2,783.00 |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,902.40 | $2,902.40 | $6,907.00 | |
Cigna
| Facility | $2,151.00 | $5,371.62 | $5,371.62 | |
United
| Facility | $1,924.00 | $2,783.00 | $2,783.00 |