| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $1,071.52 | $2,454.71 | |
BCBS
| Facility | $3,235.94 | $3,235.94 | $4,466.84 | |
United
| Facility | $977.24 | $2,137.96 | $7,079.46 |
Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $1,071.52 | $2,454.71 | |
BCBS
| Facility | $3,235.94 | $3,235.94 | $4,466.84 | |
United
| Facility | $977.24 | $2,137.96 | $7,079.46 |