| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,981.74 | $1,981.74 | $1,981.74 | |
Providence
| Facility | $985.50 | $2,393.94 | $2,445.25 |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $1,981.74 | $1,981.74 | $1,981.74 | |
Providence
| Facility | $985.50 | $2,393.94 | $2,445.25 |