| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.74 | $916.36 | $1,400.00 | |
CareSource
| Facility | $227.80 | $253.38 | $276.06 | |
Cigna
| Facility | $365.28 | $365.28 | $365.28 |
Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.74 | $916.36 | $1,400.00 | |
CareSource
| Facility | $227.80 | $253.38 | $276.06 | |
Cigna
| Facility | $365.28 | $365.28 | $365.28 |