| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $133.27 | $167.58 | $280.50 | |
Medica
| Facility | $154.11 | $233.00 | $1,024.71 | |
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 | $133.27 | $167.58 | $280.50 | |
Medica
| Facility | $154.11 | $233.00 | $1,024.71 | |
Medica
| Professional | $1,138.00 | $1,138.00 | $1,138.00 |