| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,856.29 | $1,856.29 | $8,500.00 | |
Medica
| Facility | $1,856.29 | $2,295.58 | $5,568.87 |
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 | $1,856.29 | $1,856.29 | $8,500.00 | |
Medica
| Facility | $1,856.29 | $2,295.58 | $5,568.87 |