| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $894.40 | $894.40 | $894.40 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Anthem BCBS
| Facility | $687.91 | $9,920.00 | $15,915.00 |
Probe, Robotic, Water-Jet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $894.40 | $894.40 | $894.40 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Anthem BCBS
| Facility | $687.91 | $9,920.00 | $15,915.00 |