| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,429.79 | $3,429.79 | $3,429.79 | |
Providence
| Facility | $1,685.68 | $3,683.55 | $3,883.55 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $3,429.79 | $3,429.79 | $3,429.79 | |
Providence
| Facility | $1,685.68 | $3,683.55 | $3,883.55 |