| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Kaiser Permanente
| Professional | $1,445.44 | $1,584.89 | $1,949.84 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 |
Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $2,818.38 | $2,818.38 | |
Kaiser Permanente
| Professional | $1,445.44 | $1,584.89 | $1,949.84 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 |