| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,762.47 | $11,220.18 | $32,359.37 | |
Martin's Point
| Facility | $7,762.47 | $10,471.29 | $32,359.37 |
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 | $7,762.47 | $11,220.18 | $32,359.37 | |
Martin's Point
| Facility | $7,762.47 | $10,471.29 | $32,359.37 |