| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.04 | $15,531.91 | $15,531.91 | |
Medica
| Facility | $791.04 | $1,130.16 | $10,000.85 |
Laparoscopy W Total Hysterectomy Uterus 250 Gm/<
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.04 | $15,531.91 | $15,531.91 | |
Medica
| Facility | $791.04 | $1,130.16 | $10,000.85 |