| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $323.59 | $446.68 | $575.44 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $323.59 | $446.68 | $575.44 | |
United
| Facility | $1,698.24 | $1,698.24 | $1,698.24 |