| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $10,000.00 | $20,417.38 | |
Moda Health
| Facility | $691.83 | $933.25 | $4,570.88 | |
Providence
| Facility | $933.25 | $3,235.94 | $4,570.88 |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $10,000.00 | $20,417.38 | |
Moda Health
| Facility | $691.83 | $933.25 | $4,570.88 | |
Providence
| Facility | $933.25 | $3,235.94 | $4,570.88 |