| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,128.31 | $9,549.93 | $14,125.38 | |
Highmark BCBS
| Facility | $9,549.93 | $10,471.29 | $16,595.87 | |
United
| Facility | $4,265.80 | $10,715.19 | $13,489.63 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,128.31 | $9,549.93 | $14,125.38 | |
Highmark BCBS
| Facility | $9,549.93 | $10,471.29 | $16,595.87 | |
United
| Facility | $4,265.80 | $10,715.19 | $13,489.63 |