| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.07 | $918.61 | $1,400.00 | |
CareSource
| Facility | $264.95 | $294.58 | $320.95 | |
Cigna
| Facility | $424.84 | $424.84 | $424.84 |
Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.07 | $918.61 | $1,400.00 | |
CareSource
| Facility | $264.95 | $294.58 | $320.95 | |
Cigna
| Facility | $424.84 | $424.84 | $424.84 |