| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,124.95 | $1,124.95 | $8,500.00 | |
Medica
| Facility | $1,124.95 | $1,522.81 | $3,374.85 |
Rescj Ovarian/Tubal/Peritoneal Malignancy W/Bso
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,124.95 | $1,124.95 | $8,500.00 | |
Medica
| Facility | $1,124.95 | $1,522.81 | $3,374.85 |