| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,229.45 | $12,229.45 | $12,229.45 | |
Martin's Point
| Facility | $12,229.45 | $12,229.45 | $12,229.45 |
Laps Urtroneocstost W/Cstsc&Urtrl Stent Plmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12,229.45 | $12,229.45 | $12,229.45 | |
Martin's Point
| Facility | $12,229.45 | $12,229.45 | $12,229.45 |