| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,221.91 | $1,221.91 | $4,800.00 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Medica
| Facility | $100.00 | $100.00 | $7,138.95 |
Probe, Robotic, Water-Jet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,221.91 | $1,221.91 | $4,800.00 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Medica
| Facility | $100.00 | $100.00 | $7,138.95 |