| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,308.44 | $1,308.44 | $10,000.00 | |
Medica
| Facility | $1,308.44 | $1,812.20 | $3,925.32 |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,308.44 | $1,308.44 | $10,000.00 | |
Medica
| Facility | $1,308.44 | $1,812.20 | $3,925.32 |