| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,486.75 | $13,413.92 | $25,230.91 | |
Moda Health
| Facility | $1,509.30 | $8,104.07 | $10,927.73 | |
Providence
| Facility | $1,509.30 | $5,788.62 | $8,277.73 |
Laparoscopy, surgical, with total 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 | $4,486.75 | $13,413.92 | $25,230.91 | |
Moda Health
| Facility | $1,509.30 | $8,104.07 | $10,927.73 | |
Providence
| Facility | $1,509.30 | $5,788.62 | $8,277.73 |