| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $3,255.78 | $14,417.86 | |
Anthem BCBS
| Facility | $8,512.20 | $9,458.00 | $17,400.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |
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 | $100.00 | $3,255.78 | $14,417.86 | |
Anthem BCBS
| Facility | $8,512.20 | $9,458.00 | $17,400.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |