| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $14,454.40 | $28,183.83 | |
Martin's Point
| Facility | $1,778.28 | $14,125.38 | $28,183.83 |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $14,454.40 | $28,183.83 | |
Martin's Point
| Facility | $1,778.28 | $14,125.38 | $28,183.83 |