| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,955.04 | $6,464.28 | $6,464.28 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 |
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 | $3,955.04 | $6,464.28 | $6,464.28 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 |