| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,919.00 | $12,600.00 | |
Medica
| Facility | $190.60 | $1,132.22 | $3,899.00 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,988.00 |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $4,919.00 | $12,600.00 | |
Medica
| Facility | $190.60 | $1,132.22 | $3,899.00 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,988.00 |