| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $6,792.00 | $8,043.00 | |
Kaiser Permanente
| Professional | $928.02 | $2,046.58 | $2,046.58 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |
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 | $1,614.00 | $6,792.00 | $8,043.00 | |
Kaiser Permanente
| Professional | $928.02 | $2,046.58 | $2,046.58 | |
United
| Facility | $3,261.00 | $4,165.00 | $26,408.00 |