| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $743.15 | $3,955.04 | $4,937.68 | |
United
| Facility | $3,599.00 | $7,228.00 | $12,680.00 |
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 | $743.15 | $3,955.04 | $4,937.68 | |
United
| Facility | $3,599.00 | $7,228.00 | $12,680.00 |