| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $20,094.18 | $21,189.22 | |
Medica
| Facility | $1,203.63 | $2,046.17 | $11,647.00 |
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 | $8,500.00 | $20,094.18 | $21,189.22 | |
Medica
| Facility | $1,203.63 | $2,046.17 | $11,647.00 |