| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $363.08 | $489.78 | $794.33 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $363.08 | $489.78 | $794.33 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |