| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $562.34 | $562.34 | $630.96 | |
Priority Health
| Professional | $562.34 | $562.34 | $562.34 |
Intro Guide Pelvis&/Ureter W/Dilat Nfros Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $562.34 | $562.34 | $630.96 | |
Priority Health
| Professional | $562.34 | $562.34 | $562.34 |