| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,005.19 | $16,906.66 | $22,542.21 | |
Martin's Point
| Facility | $11,005.19 | $16,906.66 | $22,542.21 |
Laparoscopy, surgical; pyeloplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,005.19 | $16,906.66 | $22,542.21 | |
Martin's Point
| Facility | $11,005.19 | $16,906.66 | $22,542.21 |