| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,169.52 | $3,169.52 | $3,169.52 | |
Providence
| Facility | $1,557.64 | $3,396.25 | $3,583.11 |
Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,169.52 | $3,169.52 | $3,169.52 | |
Providence
| Facility | $1,557.64 | $3,396.25 | $3,583.11 |