| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $10,900.00 | $41,882.42 | |
Moda Health
| Facility | $1,118.18 | $4,295.67 | $6,142.81 | |
Providence
| Facility | $1,118.18 | $4,295.67 | $6,142.81 |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $10,900.00 | $41,882.42 | |
Moda Health
| Facility | $1,118.18 | $4,295.67 | $6,142.81 | |
Providence
| Facility | $1,118.18 | $4,295.67 | $6,142.81 |