| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Cigna
| Facility | $20,417.38 | $20,417.38 | $20,417.38 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Cigna
| Facility | $20,417.38 | $20,417.38 | $20,417.38 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |