| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $3,162.28 | $7,762.47 | |
Kaiser Permanente
| Professional | $141.25 | $147.91 | $331.13 | |
United
| Facility | $2,344.23 | $14,454.40 | $26,302.68 |
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 | $154.88 | $3,162.28 | $7,762.47 | |
Kaiser Permanente
| Professional | $141.25 | $147.91 | $331.13 | |
United
| Facility | $2,344.23 | $14,454.40 | $26,302.68 |