| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.26 | $409.26 | $8,500.00 | |
Medica
| Facility | $409.26 | $515.48 | $1,227.78 |
Plastic Repair Urethrocele
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.26 | $409.26 | $8,500.00 | |
Medica
| Facility | $409.26 | $515.48 | $1,227.78 |