| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,219.40 | $4,017.60 | $4,017.60 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |
Laps Abd Prtm&Omentum Dx W/Wo Spec Br/Wa Spx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,219.40 | $4,017.60 | $4,017.60 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |