| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Cigna
| Facility | $15,488.17 | $15,488.17 | $15,488.17 | |
Highmark BCBS
| Facility | $14,125.38 | $16,595.87 | $25,703.96 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Cigna
| Facility | $15,488.17 | $15,488.17 | $15,488.17 | |
Highmark BCBS
| Facility | $14,125.38 | $16,595.87 | $25,703.96 |