| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $901.47 | $901.47 | $8,500.00 | |
Medica
| Facility | $901.47 | $1,262.21 | $2,704.41 |
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 | $901.47 | $901.47 | $8,500.00 | |
Medica
| Facility | $901.47 | $1,262.21 | $2,704.41 |