| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna
| Facility | QK | $436.52 | $676.08 | $1,174.90 |
Aetna
| Facility | QX | $354.81 | $549.54 | $1,000.00 |
Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna
| Facility | QK | $436.52 | $676.08 | $1,174.90 |
Aetna
| Facility | QX | $354.81 | $549.54 | $1,000.00 |