| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $141.25 | $165.96 | $281.84 | |
Priority Health
| Professional | $141.25 | $147.91 | $234.42 |
Intro Cath In Renal Pelvis Drg&/Njx Prq Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $141.25 | $165.96 | $281.84 | |
Priority Health
| Professional | $141.25 | $147.91 | $234.42 |