| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,421.48 | $1,421.48 | $8,500.00 | |
Medica
| Facility | $1,421.48 | $2,015.25 | $4,264.43 |
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 | $1,421.48 | $1,421.48 | $8,500.00 | |
Medica
| Facility | $1,421.48 | $2,015.25 | $4,264.43 |