| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,445.44 | $1,778.28 | $2,511.89 | |
Cigna
| Professional | $1,202.26 | $1,949.84 | $3,162.28 | |
United
| Professional | $1,479.11 | $1,995.26 | $5,754.40 |
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,445.44 | $1,778.28 | $2,511.89 | |
Cigna
| Professional | $1,202.26 | $1,949.84 | $3,162.28 | |
United
| Professional | $1,479.11 | $1,995.26 | $5,754.40 |