| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.69 | $864.69 | $864.69 | |
Martin's Point
| Facility | $864.69 | $864.69 | $864.69 |
Unlisted procedure, urinary system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.69 | $864.69 | $864.69 | |
Martin's Point
| Facility | $864.69 | $864.69 | $864.69 |