| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,279.54 | $8,860.50 | $16,855.40 | |
United
| Facility | $6,934.00 | $6,934.00 | $26,502.00 |
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 | $8,279.54 | $8,860.50 | $16,855.40 | |
United
| Facility | $6,934.00 | $6,934.00 | $26,502.00 |