| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $1,226.83 | $1,388.88 | $1,620.36 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |
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 | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $1,226.83 | $1,388.88 | $1,620.36 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |