| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,227.65 | $1,227.65 | $1,227.65 | |
CareSource
| Professional | $1,091.25 | $1,091.25 | $1,091.25 |
Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy requiring total hysterectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,227.65 | $1,227.65 | $1,227.65 | |
CareSource
| Professional | $1,091.25 | $1,091.25 | $1,091.25 |