| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $280.25 | $280.25 | $280.25 | |
Providence
| Facility | $138.50 | $318.50 | $328.27 | |
United
| Facility | $221.82 | $221.82 | $221.82 |
Bkbench Rcnstj Algrft Ureteral Anast Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $280.25 | $280.25 | $280.25 | |
Providence
| Facility | $138.50 | $318.50 | $328.27 | |
United
| Facility | $221.82 | $221.82 | $221.82 |