| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,307.53 | $1,426.39 | $1,664.12 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
Urtroneocstost W/Vesico-Psoas Hitch/Bldr Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,307.53 | $1,426.39 | $1,664.12 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |