| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $139.87 | $258.69 | $284.30 | |
Medica
| Facility | $148.03 | $168.59 | $342.51 | |
Medica
| Professional | $1,138.00 | $1,138.00 | $1,138.00 |
Intro Cath In Renal Pelvis Drg&/Njx Prq Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $139.87 | $258.69 | $284.30 | |
Medica
| Facility | $148.03 | $168.59 | $342.51 | |
Medica
| Professional | $1,138.00 | $1,138.00 | $1,138.00 |