| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,773.00 | $1,773.00 | $1,773.00 | |
Providence
| Facility | $873.92 | $2,058.55 | $2,127.10 |
Ureteroureterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,773.00 | $1,773.00 | $1,773.00 | |
Providence
| Facility | $873.92 | $2,058.55 | $2,127.10 |