| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,373.00 | $10,373.00 | $10,373.00 | |
Cigna
| Facility | $13,583.44 | $13,583.44 | $13,583.44 | |
Highmark BCBS
| Facility | $16,151.27 | $17,375.20 | $21,309.64 |
Other kidney & urinary tract diagnoses w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,373.00 | $10,373.00 | $10,373.00 | |
Cigna
| Facility | $13,583.44 | $13,583.44 | $13,583.44 | |
Highmark BCBS
| Facility | $16,151.27 | $17,375.20 | $21,309.64 |