| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $151.97 | $8,500.00 | |
Medica
| Facility | $0.67 | $151.97 | $455.91 |
Perq Dilation Xst Trc Endourologic Px W/Img
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.97 | $151.97 | $8,500.00 | |
Medica
| Facility | $0.67 | $151.97 | $455.91 |