| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.18 | $482.18 | $6,907.00 | |
Cigna
| Facility | $5,647.00 | $5,647.00 | $5,647.00 | |
United
| Facility | $104.00 | $143.00 | $143.00 |
Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.18 | $482.18 | $6,907.00 | |
Cigna
| Facility | $5,647.00 | $5,647.00 | $5,647.00 | |
United
| Facility | $104.00 | $143.00 | $143.00 |