| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,682.00 | $3,635.00 | $4,847.00 | |
Cigna
| Professional | $677.90 | $716.49 | $858.44 |
Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,682.00 | $3,635.00 | $4,847.00 | |
Cigna
| Professional | $677.90 | $716.49 | $858.44 |