| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,359.50 | $27,359.50 | $27,359.50 | |
Cigna
| Facility | $12,560.36 | $21,152.02 | $21,517.86 | |
United
| Facility | $7,587.00 | $9,796.00 | $11,157.20 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27,359.50 | $27,359.50 | $27,359.50 | |
Cigna
| Facility | $12,560.36 | $21,152.02 | $21,517.86 | |
United
| Facility | $7,587.00 | $9,796.00 | $11,157.20 |