| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $1,174.90 | $9,549.93 | |
Medica
| Facility | $1,148.15 | $1,584.89 | $3,235.94 | |
United
| Facility | $1,819.70 | $2,041.74 | $20,417.38 |
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 | $1,148.15 | $1,174.90 | $9,549.93 | |
Medica
| Facility | $1,148.15 | $1,584.89 | $3,235.94 | |
United
| Facility | $1,819.70 | $2,041.74 | $20,417.38 |