| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,443.00 | $21,443.00 | $21,443.00 | |
Cigna
| Facility | $26,471.86 | $26,471.86 | $26,471.86 | |
Highmark BCBS
| Facility | $17,375.47 | $17,375.47 | $17,375.47 |
Urinary stones w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,443.00 | $21,443.00 | $21,443.00 | |
Cigna
| Facility | $26,471.86 | $26,471.86 | $26,471.86 | |
Highmark BCBS
| Facility | $17,375.47 | $17,375.47 | $17,375.47 |