| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.33 | $8,331.90 | $8,500.00 | |
Medica
| Facility | $1,026.33 | $1,371.72 | $3,078.99 |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,026.33 | $8,331.90 | $8,500.00 | |
Medica
| Facility | $1,026.33 | $1,371.72 | $3,078.99 |