| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,804.68 | $4,558.43 | $5,488.49 |
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,804.68 | $4,558.43 | $5,488.49 |