| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,725.14 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,155.82 | $4,309.78 | $6,162.99 | |
Providence
| Facility | $1,155.82 | $4,309.78 | $6,162.99 |
Laparoscopy, surgical; ablation of renal cysts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,725.14 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,155.82 | $4,309.78 | $6,162.99 | |
Providence
| Facility | $1,155.82 | $4,309.78 | $6,162.99 |