| 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 |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
| 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 |