| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.56 | $4,516.00 | $9,950.00 | |
Horizon BCBS
| Facility | $6,766.81 | $7,684.77 | $15,991.30 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |
Perq Dilation Xst Trc Endourologic Px W/Img
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.56 | $4,516.00 | $9,950.00 | |
Horizon BCBS
| Facility | $6,766.81 | $7,684.77 | $15,991.30 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |