| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,204.27 | $1,204.27 | $8,500.00 | |
Medica
| Facility | $1,204.27 | $1,680.93 | $3,612.81 |
Laparoscopy, surgical; nephrectomy, including partial ureterectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,204.27 | $1,204.27 | $8,500.00 | |
Medica
| Facility | $1,204.27 | $1,680.93 | $3,612.81 |