| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,159.91 | $4,159.91 | $4,159.91 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Martin's Point
| Facility | $0.40 | $0.40 | $4,159.91 |
Unlisted Laparoscopy Procedure Appendix
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,159.91 | $4,159.91 | $4,159.91 | |
Cigna
| Facility | $699.00 | $699.00 | $699.00 | |
Martin's Point
| Facility | $0.40 | $0.40 | $4,159.91 |