| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,826.25 | $4,826.25 | $11,640.72 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 |
Probe, Robotic, Water-Jet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,826.25 | $4,826.25 | $11,640.72 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 |