| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.61 | $2,786.05 | $7,505.52 |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.61 | $2,786.05 | $7,505.52 |