| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,698.24 | $1,698.24 | $1,778.28 | |
United
| Facility | $8,128.31 | $8,128.31 | $8,317.64 |
Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $1,698.24 | $1,698.24 | $1,778.28 | |
United
| Facility | $8,128.31 | $8,128.31 | $8,317.64 |