| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.54 | $501.54 | $8,500.00 | |
Medica
| Facility | $456.57 | $613.83 | $1,309.50 | |
United
| Facility | $3,240.00 | $3,240.00 | $3,240.00 |
Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.54 | $501.54 | $8,500.00 | |
Medica
| Facility | $456.57 | $613.83 | $1,309.50 | |
United
| Facility | $3,240.00 | $3,240.00 | $3,240.00 |