| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.36 | $672.36 | $8,500.00 | |
Medica
| Facility | $672.36 | $951.63 | $2,017.08 |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.36 | $672.36 | $8,500.00 | |
Medica
| Facility | $672.36 | $951.63 | $2,017.08 |