| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,687.48 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,123.83 | $4,333.09 | $6,196.32 | |
Providence
| Facility | $1,123.83 | $4,333.09 | $6,196.32 |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,687.48 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,123.83 | $4,333.09 | $6,196.32 | |
Providence
| Facility | $1,123.83 | $4,333.09 | $6,196.32 |