| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,143.96 | $2,143.96 | $8,500.00 | |
Medica
| Facility | $2,143.96 | $2,946.58 | $6,431.91 |
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 | $2,143.96 | $2,143.96 | $8,500.00 | |
Medica
| Facility | $2,143.96 | $2,946.58 | $6,431.91 |