| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,025.60 | $11,220.18 | |
U of Utah Health Plan
| Professional | $1,148.15 | $1,380.38 | $1,995.26 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |
Lysis of adhesions (salpingolysis, ovariolysis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,025.60 | $11,220.18 | |
U of Utah Health Plan
| Professional | $1,148.15 | $1,380.38 | $1,995.26 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |