| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,063.46 | $2,063.46 | $4,696.29 | |
Martin's Point
| Facility | $2,063.46 | $2,063.46 | $4,696.29 |
Unlisted laparoscopy procedure, lymphatic system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,063.46 | $2,063.46 | $4,696.29 | |
Martin's Point
| Facility | $2,063.46 | $2,063.46 | $4,696.29 |