| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,186.74 | $10,719.45 | $14,837.45 | |
Highmark BCBS
| Facility | $4,121.39 | $10,336.06 | $16,436.50 | |
United
| Facility | $2,304.42 | $10,826.55 | $12,941.83 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8,186.74 | $10,719.45 | $14,837.45 | |
Highmark BCBS
| Facility | $4,121.39 | $10,336.06 | $16,436.50 | |
United
| Facility | $2,304.42 | $10,826.55 | $12,941.83 |