| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $102.33 | $102.33 | |
Cigna
| Professional | $11.75 | $11.75 | $19.95 | |
United
| Professional | $95.50 | $102.33 | $104.71 |
Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $102.33 | $102.33 | |
Cigna
| Professional | $11.75 | $11.75 | $19.95 | |
United
| Professional | $95.50 | $102.33 | $104.71 |