| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $7,735.80 | $7,735.80 | $7,735.80 | |
Priority Health
| Facility | $7,735.80 | $7,735.80 | $7,735.80 |
Level 4 Urology and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $7,735.80 | $7,735.80 | $7,735.80 | |
Priority Health
| Facility | $7,735.80 | $7,735.80 | $7,735.80 |