| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19,439.18 | $19,439.18 | $20,432.09 |
Oth Kidney & Urin Tract Dx Age >17 W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $19,439.18 | $19,439.18 | $20,432.09 |