| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $455.34 | $455.34 | $455.34 | |
Providence
| Facility | $281.58 | $676.00 | $695.12 |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $455.34 | $455.34 | $455.34 | |
Providence
| Facility | $281.58 | $676.00 | $695.12 |