| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $283.22 | $313.50 | $361.95 | |
Lucent Health
| Facility | $275.75 | $1,376.10 | $1,376.10 | |
Lucent Health
| Professional | $400.80 | $400.80 | $400.80 |
Mitomycin pyelocalyceal instillation, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $283.22 | $313.50 | $361.95 | |
Lucent Health
| Facility | $275.75 | $1,376.10 | $1,376.10 | |
Lucent Health
| Professional | $400.80 | $400.80 | $400.80 |