| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,229.14 | $4,387.00 | $11,928.00 | |
Regence BlueShield
| Facility | $14,734.45 | $19,517.43 | $28,442.50 | |
United
| Facility | $1,680.00 | $9,753.00 | $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 |
|---|---|---|---|---|---|
Aetna
| Facility | $1,229.14 | $4,387.00 | $11,928.00 | |
Regence BlueShield
| Facility | $14,734.45 | $19,517.43 | $28,442.50 | |
United
| Facility | $1,680.00 | $9,753.00 | $20,822.43 |