| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,611.65 | $2,611.65 | $2,611.65 | |
Providence
| Facility | $1,281.14 | $2,741.05 | $2,895.59 |
Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction, intra-abdominal or retroperitoneal tumors)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,611.65 | $2,611.65 | $2,611.65 | |
Providence
| Facility | $1,281.14 | $2,741.05 | $2,895.59 |