| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,981.07 | $3,981.07 | $4,073.80 | |
Cigna
| Facility | $676.08 | $676.08 | $9,120.11 | |
United
| Facility | $1,412.54 | $6,309.57 | $13,489.63 |
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 | $3,981.07 | $3,981.07 | $4,073.80 | |
Cigna
| Facility | $676.08 | $676.08 | $9,120.11 | |
United
| Facility | $1,412.54 | $6,309.57 | $13,489.63 |