| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,905.46 | $1,905.46 | $1,905.46 | |
MountainHealth Co-op
| Facility | $2,041.74 | $2,089.30 | $2,290.87 | |
Providence
| Facility | $1,071.52 | $1,737.80 | $2,290.87 |
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,905.46 | $1,905.46 | $1,905.46 | |
MountainHealth Co-op
| Facility | $2,041.74 | $2,089.30 | $2,290.87 | |
Providence
| Facility | $1,071.52 | $1,737.80 | $2,290.87 |