| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $558.20 | $558.20 | $558.20 | |
United
| Facility | $5,717.00 | $5,717.00 | $7,693.00 |
Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $558.20 | $558.20 | $558.20 | |
United
| Facility | $5,717.00 | $5,717.00 | $7,693.00 |