| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,238.02 | $8,887.24 | $16,589.40 | |
Moda Health
| Facility | $883.71 | $3,390.42 | $4,848.30 | |
Providence
| Facility | $883.71 | $3,390.42 | $4,848.30 |
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,238.02 | $8,887.24 | $16,589.40 | |
Moda Health
| Facility | $883.71 | $3,390.42 | $4,848.30 | |
Providence
| Facility | $883.71 | $3,390.42 | $4,848.30 |