| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $595.08 | $712.97 | $858.44 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |
Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $595.08 | $712.97 | $858.44 | |
Molina
| Professional | $40.00 | $40.00 | $50.00 |