| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,456.28 | $2,456.28 | $2,456.28 | |
Martin's Point
| Facility | $2,456.28 | $2,456.28 | $2,456.28 |
Unlisted laparoscopy procedure, oviduct, ovary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,456.28 | $2,456.28 | $2,456.28 | |
Martin's Point
| Facility | $2,456.28 | $2,456.28 | $2,456.28 |