| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,212.00 | $8,114.00 | $9,015.00 | |
CareSource
| Professional | $80,849.19 | $80,849.19 | $80,849.19 | |
Cigna
| Professional | $1,534.62 | $1,699.23 | $1,699.23 |
Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,212.00 | $8,114.00 | $9,015.00 | |
CareSource
| Professional | $80,849.19 | $80,849.19 | $80,849.19 | |
Cigna
| Professional | $1,534.62 | $1,699.23 | $1,699.23 |