| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $131.83 | $165.96 | $281.84 | |
Molina
| Professional | $70.79 | $70.79 | $70.79 |
Intro Cath In Renal Pelvis Drg&/Njx Prq Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $131.83 | $165.96 | $281.84 | |
Molina
| Professional | $70.79 | $70.79 | $70.79 |