| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,267.94 | $7,678.00 | |
United
| Facility | $1,565.00 | $2,920.00 | $6,992.00 |
Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,267.94 | $7,678.00 | |
United
| Facility | $1,565.00 | $2,920.00 | $6,992.00 |