| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $495.30 | $495.30 | $495.30 | |
Providence
| Facility | $244.90 | $603.85 | $615.41 |
Cysto Fragmentation Ureteral Stone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
Cigna
| Facility | $495.30 | $495.30 | $495.30 | |
Providence
| Facility | $244.90 | $603.85 | $615.41 |