| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,389.86 | $9,905.74 | $9,905.74 | |
Martin's Point
| Facility | $5,389.86 | $8,170.21 | $9,905.74 |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,389.86 | $9,905.74 | $9,905.74 | |
Martin's Point
| Facility | $5,389.86 | $8,170.21 | $9,905.74 |