| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $699.00 | $699.00 | $1,340.50 | |
United
| Facility | $20,822.43 | $20,822.43 | $20,822.43 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $699.00 | $699.00 | $1,340.50 | |
United
| Facility | $20,822.43 | $20,822.43 | $20,822.43 |