| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $3,311.31 | $7,762.47 | |
Providence
| Facility | $2,187.76 | $3,090.30 | $5,128.61 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |
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 | $2,137.96 | $3,311.31 | $7,762.47 | |
Providence
| Facility | $2,187.76 | $3,090.30 | $5,128.61 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |