| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.88 | $2,744.63 | $2,744.63 | |
Martin's Point
| Facility | $2,744.63 | $2,744.63 | $4,950.60 |
Plmt Nephroureteral Cath Prq New Access Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.88 | $2,744.63 | $2,744.63 | |
Martin's Point
| Facility | $2,744.63 | $2,744.63 | $4,950.60 |