| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,384.43 | $1,384.43 | $1,384.43 | |
Providence
| Facility | $679.04 | $1,541.15 | $1,566.07 |
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,384.43 | $1,384.43 | $1,384.43 | |
Providence
| Facility | $679.04 | $1,541.15 | $1,566.07 |