| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,273.00 | $6,438.00 | $12,831.00 | |
Horizon BCBS
| Facility | $20,426.63 | $22,904.34 | $25,311.77 | |
United
| Facility | $3,321.00 | $8,870.00 | $18,283.00 |
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 | $1,273.00 | $6,438.00 | $12,831.00 | |
Horizon BCBS
| Facility | $20,426.63 | $22,904.34 | $25,311.77 | |
United
| Facility | $3,321.00 | $8,870.00 | $18,283.00 |