| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,601.63 | $1,601.63 | $1,601.63 | |
Medica
| Facility | $55.00 | $55.00 | $4,777.50 | |
Medica
| Professional | $4,729.09 | $4,729.09 | $4,729.09 |
Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy requiring total hysterectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,601.63 | $1,601.63 | $1,601.63 | |
Medica
| Facility | $55.00 | $55.00 | $4,777.50 | |
Medica
| Professional | $4,729.09 | $4,729.09 | $4,729.09 |