| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,513.56 | $2,187.76 | |
Cigna
| Professional | $1,023.29 | $1,621.81 | $2,691.53 | |
United
| Professional | $1,258.93 | $1,698.24 | $4,897.79 |
Nephrolithotomy; complicated by congenital kidney abnormality
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,513.56 | $2,187.76 | |
Cigna
| Professional | $1,023.29 | $1,621.81 | $2,691.53 | |
United
| Professional | $1,258.93 | $1,698.24 | $4,897.79 |