| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $73,361.58 | $73,361.58 | $73,361.58 | |
Providence
| Facility | $29,093.30 | $29,093.30 | $73,361.58 |
Urinary Stones W/O Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $73,361.58 | $73,361.58 | $73,361.58 | |
Providence
| Facility | $29,093.30 | $29,093.30 | $73,361.58 |