| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.35 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $220.38 | $829.24 | $1,185.81 | |
Providence
| Facility | $220.38 | $829.24 | $1,185.81 |
Bkbench Rcnstj Algrft Ureteral Anast Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.35 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $220.38 | $829.24 | $1,185.81 | |
Providence
| Facility | $220.38 | $829.24 | $1,185.81 |