| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $8,317.64 | $12,302.69 | |
Horizon BCBS
| Facility | $12,302.69 | $18,620.87 | $29,512.09 | |
United
| Facility | $4,786.30 | $10,000.00 | $25,118.86 |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $8,317.64 | $12,302.69 | |
Horizon BCBS
| Facility | $12,302.69 | $18,620.87 | $29,512.09 | |
United
| Facility | $4,786.30 | $10,000.00 | $25,118.86 |