| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $711.00 | $2,550.00 | $3,576.00 | |
Medical Mutual of Ohio
| Professional | $380.13 | $380.13 | $394.02 |
Introduction Of Ureteral Catheter Or Stent Into Ureter Through Renal Pelvis For Drainage And/Or Injection, Percutaneou
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $711.00 | $2,550.00 | $3,576.00 | |
Medical Mutual of Ohio
| Professional | $380.13 | $380.13 | $394.02 |