| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $288.14 | $465.81 | $495.74 |
Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $288.14 | $465.81 | $495.74 |