| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $5,495.41 | $10,715.19 | |
Horizon BCBS
| Facility | $4,168.69 | $6,606.93 | $10,471.29 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |
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 | $2,511.89 | $5,495.41 | $10,715.19 | |
Horizon BCBS
| Facility | $4,168.69 | $6,606.93 | $10,471.29 | |
United
| Facility | $2,951.21 | $6,606.93 | $10,964.78 |