| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $3,715.35 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,762.47 | $13,489.63 |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,467.37 | $3,715.35 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,762.47 | $13,489.63 |