| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $416.87 | $562.34 | |
CareSource
| Facility | $478.63 | $478.63 | $794.33 | |
Health Alliance Plan
| Facility | $416.87 | $416.87 | $537.03 |
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 | $398.11 | $416.87 | $562.34 | |
CareSource
| Facility | $478.63 | $478.63 | $794.33 | |
Health Alliance Plan
| Facility | $416.87 | $416.87 | $537.03 |