| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Medica
| Facility | $4,759.30 | $8,043.22 | $13,040.48 |
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 | |
Medica
| Facility | $4,759.30 | $8,043.22 | $13,040.48 |