| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $708.10 | $4,807.43 | $10,225.79 | |
Medica
| Facility | $708.10 | $2,882.74 | $8,571.10 |
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 | $708.10 | $4,807.43 | $10,225.79 | |
Medica
| Facility | $708.10 | $2,882.74 | $8,571.10 |