| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $912.01 | $1,122.02 | $1,778.28 | |
Cigna
| Professional | $954.99 | $1,621.81 | $2,187.76 | |
United
| Professional | $1,000.00 | $1,348.96 | $3,981.07 |
Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $912.01 | $1,122.02 | $1,778.28 | |
Cigna
| Professional | $954.99 | $1,621.81 | $2,187.76 | |
United
| Professional | $1,000.00 | $1,348.96 | $3,981.07 |