| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $20.00 | $1,193.17 | $1,918.86 | |
Hometown Health
| Professional | $15.00 | $1,096.49 | $1,644.74 |
Pyelotomy Complicated
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,452.00 | $5,379.00 | $8,190.00 | |
Hometown Health
| Professional | $20.00 | $1,193.17 | $1,918.86 | |
Hometown Health
| Professional | $15.00 | $1,096.49 | $1,644.74 |