| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $12,882.50 | $20,892.96 | |
Medica
| Facility | $1,202.26 | $2,041.74 | $11,748.98 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |
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 | $1,202.26 | $12,882.50 | $20,892.96 | |
Medica
| Facility | $1,202.26 | $2,041.74 | $11,748.98 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |