| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $923.63 | $7,514.38 | $8,409.74 | |
Medica
| Facility | $923.63 | $1,570.17 | $9,643.54 |
Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $923.63 | $7,514.38 | $8,409.74 | |
Medica
| Facility | $923.63 | $1,570.17 | $9,643.54 |