| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,897.79 | $6,606.93 | $8,511.38 | |
Providence
| Facility | $4,897.79 | $6,606.93 | $12,302.69 |
Level 5 Urology and Related Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,897.79 | $6,606.93 | $8,511.38 | |
Providence
| Facility | $4,897.79 | $6,606.93 | $12,302.69 |