| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $16,062.25 | $16,062.25 | $16,062.25 | |
Providence
| Facility | $6,585.89 | $6,585.89 | $16,062.25 |
Other kidney & urinary tract diagnoses w/o CC/MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $24,550.00 | $41,000.00 | $47,500.00 | |
Cigna
| Facility | $16,062.25 | $16,062.25 | $16,062.25 | |
Providence
| Facility | $6,585.89 | $6,585.89 | $16,062.25 |