| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,804.68 | $4,558.43 | $5,488.49 | |
Horizon BCBS
| Professional | $912.41 | $1,222.58 | $2,181.83 |
Pyelotomy Complicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $3,804.68 | $4,558.43 | $5,488.49 | |
Horizon BCBS
| Professional | $912.41 | $1,222.58 | $2,181.83 |