| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $31,302.65 | $31,302.65 | $31,302.65 | |
Providence
| Facility | $13,571.46 | $13,571.46 | $31,302.65 |
Urinary stones w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $31,302.65 | $31,302.65 | $31,302.65 | |
Providence
| Facility | $13,571.46 | $13,571.46 | $31,302.65 |