| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,902.95 | $6,667.45 | $8,608.68 | |
Providence
| Facility | $4,902.95 | $6,667.45 | $11,744.29 |
Level 5 Urology and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,902.95 | $6,667.45 | $8,608.68 | |
Providence
| Facility | $4,902.95 | $6,667.45 | $11,744.29 |