| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $533.19 | $5,975.00 | $11,298.00 | |
Horizon BCBS
| Facility | $6,238.19 | $6,238.19 | $7,730.08 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |
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 | $533.19 | $5,975.00 | $11,298.00 | |
Horizon BCBS
| Facility | $6,238.19 | $6,238.19 | $7,730.08 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |