| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,697.99 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $1,566.94 | $5,848.37 | $8,363.17 | |
Providence
| Facility | $1,566.94 | $5,848.37 | $8,363.17 |
Laparoscopy, surgical; pyeloplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,697.99 | $9,577.00 | $14,552.94 | |
Moda Health
| Facility | $1,566.94 | $5,848.37 | $8,363.17 | |
Providence
| Facility | $1,566.94 | $5,848.37 | $8,363.17 |