| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $888.93 | $888.93 | $8,500.00 | |
Medica
| Facility | $888.93 | $1,187.41 | $2,666.79 |
Lysis Of Adhesions Salpinx/Ovary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $888.93 | $888.93 | $8,500.00 | |
Medica
| Facility | $888.93 | $1,187.41 | $2,666.79 |