| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $17,625.00 | $23,077.61 | $31,943.12 | |
Highmark BCBS
| Facility | $19,389.05 | $39,719.26 | $61,924.62 | |
United
| Facility | $27,862.09 | $27,862.09 | $27,862.09 |
Oth Kidney & Urin Tract Dx Age >17 W Cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $17,625.00 | $23,077.61 | $31,943.12 | |
Highmark BCBS
| Facility | $19,389.05 | $39,719.26 | $61,924.62 | |
United
| Facility | $27,862.09 | $27,862.09 | $27,862.09 |