| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,859.45 | $19,604.36 | $23,946.77 | |
Medica
| Facility | $892.13 | $5,329.15 | $11,647.00 |
Laparoscopy, surgical, with total 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 | $8,859.45 | $19,604.36 | $23,946.77 | |
Medica
| Facility | $892.13 | $5,329.15 | $11,647.00 |