| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $787.65 | $787.65 | $787.65 | |
Providence
| Facility | $383.86 | $883.35 | $923.45 |
Cystotomy, with insertion of ureteral catheter or stent (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $787.65 | $787.65 | $787.65 | |
Providence
| Facility | $383.86 | $883.35 | $923.45 |