| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $44.67 | $524.81 | |
Medica
| Facility | $34.67 | $44.67 | $2,691.53 |
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 | $34.67 | $44.67 | $524.81 | |
Medica
| Facility | $34.67 | $44.67 | $2,691.53 |