| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $879.48 | $879.48 | $9,500.00 | |
Medica
| Facility | $879.48 | $1,232.04 | $2,638.44 |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $879.48 | $879.48 | $9,500.00 | |
Medica
| Facility | $879.48 | $1,232.04 | $2,638.44 |