| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $371.54 | $371.54 | $426.58 | |
Priority Health
| Professional | $371.54 | $371.54 | $371.54 |
Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $371.54 | $371.54 | $426.58 | |
Priority Health
| Professional | $371.54 | $371.54 | $371.54 |