| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,616.07 | $1,616.07 | $5,496.04 | |
United
| Facility | $4,596.00 | $7,457.00 | $18,453.00 |
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 | $1,616.07 | $1,616.07 | $5,496.04 | |
United
| Facility | $4,596.00 | $7,457.00 | $18,453.00 |