| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $919.95 | $919.95 | $8,500.00 | |
Medica
| Facility | $919.95 | $1,283.63 | $2,759.85 |
Laparoscopy Surg Ablation Renal Cysts
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $919.95 | $919.95 | $8,500.00 | |
Medica
| Facility | $919.95 | $1,283.63 | $2,759.85 |