| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,524.25 | $3,841.77 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |
Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $2,524.25 | $3,841.77 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 |