| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,595.87 | $20,417.38 | $21,379.62 | |
Martin's Point
| Facility | $16,595.87 | $17,378.01 | $21,379.62 |
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 | $16,595.87 | $20,417.38 | $21,379.62 | |
Martin's Point
| Facility | $16,595.87 | $17,378.01 | $21,379.62 |