| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,399.50 | $19,013.30 | $26,080.60 | |
Cigna
| Facility | $13,216.98 | $17,000.41 | $31,968.40 | |
United
| Facility | $6,803.92 | $16,429.77 | $28,475.77 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,399.50 | $19,013.30 | $26,080.60 | |
Cigna
| Facility | $13,216.98 | $17,000.41 | $31,968.40 | |
United
| Facility | $6,803.92 | $16,429.77 | $28,475.77 |