| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $7,244.36 | $11,220.18 | $17,378.01 | |
United
| Facility | $3,467.37 | $7,413.10 | $15,135.61 |
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; including new access into the renal collecting system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $5,888.44 | $10,715.19 | |
Horizon BCBS
| Facility | $7,244.36 | $11,220.18 | $17,378.01 | |
United
| Facility | $3,467.37 | $7,413.10 | $15,135.61 |