| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,992.01 | $18,543.98 | $23,774.33 | |
Cigna
| Facility | $12,383.00 | $15,675.66 | $30,689.54 | |
United
| Facility | $13,124.00 | $13,124.00 | $13,124.00 |
Other kidney and urinary tract diagnoses with CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,992.01 | $18,543.98 | $23,774.33 | |
Cigna
| Facility | $12,383.00 | $15,675.66 | $30,689.54 | |
United
| Facility | $13,124.00 | $13,124.00 | $13,124.00 |