| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $114.82 | $229.09 | $1,023.29 | |
Medica
| Professional | $1,148.15 | $1,148.15 | $1,148.15 |
Intro Cath In Renal Pelvis Drg&/Njx Prq Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $114.82 | $229.09 | $1,023.29 | |
Medica
| Professional | $1,148.15 | $1,148.15 | $1,148.15 |