| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $144.54 | $162.18 | $295.12 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Kaiser Permanente
| Professional | $144.54 | $162.18 | $295.12 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |