| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,951.21 | $8,511.38 | $14,125.38 | |
Horizon BCBS
| Facility | $199.53 | $13,489.63 | $27,542.29 | |
United
| Facility | $4,570.88 | $9,120.11 | $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 | $2,951.21 | $8,511.38 | $14,125.38 | |
Horizon BCBS
| Facility | $199.53 | $13,489.63 | $27,542.29 | |
United
| Facility | $4,570.88 | $9,120.11 | $21,379.62 |