| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,341.30 | $1,341.30 | $10,000.00 | |
Medica
| Facility | $1,341.30 | $1,885.76 | $4,023.90 |
Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,341.30 | $1,341.30 | $10,000.00 | |
Medica
| Facility | $1,341.30 | $1,885.76 | $4,023.90 |