| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,205.00 | $24,205.00 | $24,205.00 | |
Cigna
| Facility | $32,573.48 | $32,573.48 | $32,573.48 | |
Highmark BCBS
| Facility | $9,430.95 | $35,936.00 | $58,974.51 |
Other Kidney And Urinary Tract Diagnoses With Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24,205.00 | $24,205.00 | $24,205.00 | |
Cigna
| Facility | $32,573.48 | $32,573.48 | $32,573.48 | |
Highmark BCBS
| Facility | $9,430.95 | $35,936.00 | $58,974.51 |