| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,550.53 | $6,930.75 | $11,930.78 | |
Horizon BCBS
| Facility | $20,426.63 | $25,311.77 | $54,888.28 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
Laparoscopy Surg Pyeloplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,550.53 | $6,930.75 | $11,930.78 | |
Horizon BCBS
| Facility | $20,426.63 | $25,311.77 | $54,888.28 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |