| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,581.43 | $8,311.86 | $17,391.59 | |
Cigna
| Facility | $11,725.50 | $20,352.34 | $22,006.42 | |
United
| Facility | $10,107.00 | $10,107.00 | $10,107.00 |
Urinary Stones Without Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,581.43 | $8,311.86 | $17,391.59 | |
Cigna
| Facility | $11,725.50 | $20,352.34 | $22,006.42 | |
United
| Facility | $10,107.00 | $10,107.00 | $10,107.00 |