| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.86 | $0.86 | $1,552.97 | |
Anthem BCBS
| Facility | $12,065.14 | $15,647.20 | $17,644.18 | |
Martin's Point
| Facility | $0.86 | $0.86 | $0.86 |
Urtroneocstost W/Vesico-Psoas Hitch/Bldr Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.86 | $0.86 | $1,552.97 | |
Anthem BCBS
| Facility | $12,065.14 | $15,647.20 | $17,644.18 | |
Martin's Point
| Facility | $0.86 | $0.86 | $0.86 |