| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,308.83 | $1,308.83 | $3,050.00 | |
CareSource
| Facility | $1,465.64 | $1,628.05 | $1,773.78 | |
Cigna
| Facility | $1,571.08 | $1,571.08 | $1,571.08 |
Laps Urtroneocstost W/Cstsc&Urtrl Stent Plmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,308.83 | $1,308.83 | $3,050.00 | |
CareSource
| Facility | $1,465.64 | $1,628.05 | $1,773.78 | |
Cigna
| Facility | $1,571.08 | $1,571.08 | $1,571.08 |