| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $1,127.83 | $1,492.71 | $1,492.71 |
Pyelotomy Complicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $1,127.83 | $1,492.71 | $1,492.71 |