| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.28 | $2,948.39 | $9,946.53 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 |
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 | $68.28 | $2,948.39 | $9,946.53 | |
United
| Facility | $4,596.00 | $7,457.00 | $12,945.00 |