| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,982.44 | $19,054.61 | $22,387.21 | |
Martin's Point
| Facility | $16,982.44 | $19,054.61 | $22,387.21 |
Laparoscopy, surgical; pyeloplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16,982.44 | $19,054.61 | $22,387.21 | |
Martin's Point
| Facility | $16,982.44 | $19,054.61 | $22,387.21 |