| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,090.00 | $8,031.00 | $13,387.00 | |
Anthem BCBS
| Facility | $5,755.84 | $15,054.00 | $18,574.58 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
Lysis Of Adhesions Salpinx/Ovary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,090.00 | $8,031.00 | $13,387.00 | |
Anthem BCBS
| Facility | $5,755.84 | $15,054.00 | $18,574.58 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |