| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $845.30 | $3,231.84 | $4,621.53 | |
Providence
| Facility | $845.30 | $3,231.84 | $4,621.53 |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $845.30 | $3,231.84 | $4,621.53 | |
Providence
| Facility | $845.30 | $3,231.84 | $4,621.53 |