| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
BCBS
| Facility | $1,517.61 | $2,196.16 | $3,798.60 | |
Medica
| Facility | $100.00 | $4,759.30 | $9,518.60 |
Probe, Robotic, Water-Jet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
BCBS
| Facility | $1,517.61 | $2,196.16 | $3,798.60 | |
Medica
| Facility | $100.00 | $4,759.30 | $9,518.60 |