| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $689.72 | $2,681.03 | $3,833.87 | |
Providence
| Facility | $689.72 | $2,681.03 | $3,833.87 |
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $689.72 | $2,681.03 | $3,833.87 | |
Providence
| Facility | $689.72 | $2,681.03 | $3,833.87 |