| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.80 | $645.80 | $645.80 | |
CareSource
| Facility | $438.70 | $500.14 | $544.90 | |
Cigna
| Facility | $470.38 | $470.38 | $470.38 | |
Cigna
| Facility | AS | $46.23 | $46.23 | $46.23 |
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 | $645.80 | $645.80 | $645.80 | |
CareSource
| Facility | $438.70 | $500.14 | $544.90 | |
Cigna
| Facility | $470.38 | $470.38 | $470.38 | |
Cigna
| Facility | AS | $46.23 | $46.23 | $46.23 |