| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,247.41 | $1,247.41 | $8,500.00 | |
Medica
| Facility | $1,247.41 | $1,730.60 | $16,054.27 |
Laparoscopy, surgical; pyeloplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,247.41 | $1,247.41 | $8,500.00 | |
Medica
| Facility | $1,247.41 | $1,730.60 | $16,054.27 |