| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,621.00 | $10,621.00 | $10,621.00 | |
Cigna
| Facility | $15,390.89 | $15,390.89 | $15,390.89 | |
Highmark BCBS
| Facility | $13,731.64 | $15,590.13 | $21,286.41 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,621.00 | $10,621.00 | $10,621.00 | |
Cigna
| Facility | $15,390.89 | $15,390.89 | $15,390.89 | |
Highmark BCBS
| Facility | $13,731.64 | $15,590.13 | $21,286.41 |