| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.87 | $175.87 | $1,400.00 | |
CareSource
| Facility | $191.13 | $191.13 | $238.72 | |
Cigna
| Facility | $204.26 | $204.26 | $204.26 | |
United
| Facility | $765.00 | $765.00 | $765.00 |
Bkbench Rcnstj Algrft Ureteral Anast Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.87 | $175.87 | $1,400.00 | |
CareSource
| Facility | $191.13 | $191.13 | $238.72 | |
Cigna
| Facility | $204.26 | $204.26 | $204.26 | |
United
| Facility | $765.00 | $765.00 | $765.00 |