| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,978.94 | $1,978.94 | $8,500.00 | |
Medica
| Facility | $1,978.94 | $2,704.59 | $5,936.82 |
Bso W/Omentectomy Tah&Rad Debulking Dissection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,978.94 | $1,978.94 | $8,500.00 | |
Medica
| Facility | $1,978.94 | $2,704.59 | $5,936.82 |