| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.82 | $915.35 | $8,500.00 | |
Medica
| Facility | $231.82 | $915.35 | $2,047.30 |
Removal (via snare/capture) 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 | $231.82 | $915.35 | $8,500.00 | |
Medica
| Facility | $231.82 | $915.35 | $2,047.30 |