| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,054.94 | $1,561.92 | $1,772.78 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |
Lysis of adhesions (salpingolysis, ovariolysis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,054.94 | $1,561.92 | $1,772.78 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |