| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $831.76 | $891.25 | |
Kaiser Permanente
| Professional | $338.84 | $562.34 | $602.56 |
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $831.76 | $891.25 | |
Kaiser Permanente
| Professional | $338.84 | $562.34 | $602.56 |