| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $139.87 | $173.96 | $280.50 | |
Kaiser Permanente
| Professional | $120.80 | $132.88 | $298.70 |
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 | $173.96 | $280.50 | |
Kaiser Permanente
| Professional | $120.80 | $132.88 | $298.70 |