| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,147.21 | $1,147.21 | $1,400.00 | |
CareSource
| Facility | $1,290.04 | $1,436.45 | $1,565.03 | |
Cigna
| Facility | $1,376.60 | $1,376.60 | $1,376.60 |
Urtroneocstost W/Vesico-Psoas Hitch/Bldr Flap
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,147.21 | $1,147.21 | $1,400.00 | |
CareSource
| Facility | $1,290.04 | $1,436.45 | $1,565.03 | |
Cigna
| Facility | $1,376.60 | $1,376.60 | $1,376.60 |