| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |
Cysto W/Dil & Urtl Rx Del F/Urtl Strix/Stenosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,214.00 | $3,931.00 | $5,258.00 | |
Hometown Health
| Professional | $200.00 | $350.00 | $425.00 |