| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $676.08 | $8,511.38 | |
Medica
| Facility | $676.08 | $1,122.02 | $1,995.26 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $676.08 | $8,511.38 | |
Medica
| Facility | $676.08 | $1,122.02 | $1,995.26 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |