| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,975.70 | $2,686.73 | $3,468.97 | |
Providence
| Facility | $1,975.70 | $2,686.73 | $4,732.50 |
Level 3 Urology and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,975.70 | $2,686.73 | $3,468.97 | |
Providence
| Facility | $1,975.70 | $2,686.73 | $4,732.50 |