| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,566.30 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,077.65 | $4,137.72 | $5,916.95 | |
Providence
| Facility | $1,077.65 | $4,137.72 | $5,916.95 |
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,566.30 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,077.65 | $4,137.72 | $5,916.95 | |
Providence
| Facility | $1,077.65 | $4,137.72 | $5,916.95 |