| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $891.25 | $8,511.38 | |
Medica
| Facility | $891.25 | $1,479.11 | $2,691.53 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |
Lysis of adhesions (salpingolysis, ovariolysis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $891.25 | $8,511.38 | |
Medica
| Facility | $891.25 | $1,479.11 | $2,691.53 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |