| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $38.02 | $588.84 | |
Hometown Health
| Professional | $389.05 | $524.81 | $812.83 |
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 | $38.02 | $38.02 | $588.84 | |
Hometown Health
| Professional | $389.05 | $524.81 | $812.83 |