| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.89 | $1,173.03 | $8,500.00 | |
Medica
| Facility | $258.89 | $1,173.03 | $2,698.78 |
Plmt Nephroureteral Cath Prq New Access Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.89 | $1,173.03 | $8,500.00 | |
Medica
| Facility | $258.89 | $1,173.03 | $2,698.78 |