| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,982.34 | $2,982.34 | $2,982.34 | |
Providence
| Facility | $1,464.22 | $3,134.30 | $3,316.83 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $2,982.34 | $2,982.34 | $2,982.34 | |
Providence
| Facility | $1,464.22 | $3,134.30 | $3,316.83 |