| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $707.95 | $1,995.26 | $4,073.80 | |
Medical Mutual of Ohio
| Professional | $380.19 | $380.19 | $398.11 |
Intro Ureter Cath/Stnt Renal Pelvis Drg&/Njx
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $707.95 | $1,995.26 | $4,073.80 | |
Medical Mutual of Ohio
| Professional | $380.19 | $380.19 | $398.11 |