| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $13,489.63 | $19,952.62 | $23,442.29 | |
Cigna
| Facility | $13,182.57 | $15,848.93 | $30,199.52 | |
Harvard Pilgrim
| Facility | $16,218.10 | $16,218.10 | $16,218.10 |
Other kidney & urinary tract diagnoses w CC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $13,489.63 | $19,952.62 | $23,442.29 | |
Cigna
| Facility | $13,182.57 | $15,848.93 | $30,199.52 | |
Harvard Pilgrim
| Facility | $16,218.10 | $16,218.10 | $16,218.10 |