| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $407.38 | $6,918.31 | $12,022.64 | |
Medica
| Professional | $1,698.24 | $1,698.24 | $1,698.24 |
Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $407.38 | $6,918.31 | $12,022.64 | |
Medica
| Professional | $1,698.24 | $1,698.24 | $1,698.24 |