| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $977.24 | $2,630.27 | $3,467.37 | |
Cigna
| Professional | $831.76 | $870.96 | $1,047.13 |
Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $977.24 | $2,630.27 | $3,467.37 | |
Cigna
| Professional | $831.76 | $870.96 | $1,047.13 |