| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $991.54 | $991.54 | $8,500.00 | |
Medica
| Facility | $991.54 | $1,385.91 | $2,974.62 |
Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $991.54 | $991.54 | $8,500.00 | |
Medica
| Facility | $991.54 | $1,385.91 | $2,974.62 |