| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $8,709.64 | $15,488.17 | |
Martin's Point
| Facility | $1,513.56 | $7,762.47 | $15,488.17 |
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 | $2,884.03 | $8,709.64 | $15,488.17 | |
Martin's Point
| Facility | $1,513.56 | $7,762.47 | $15,488.17 |