| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $528.42 | $528.42 | $528.42 | |
Providence
| Facility | $322.75 | $770.90 | $793.79 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $528.42 | $528.42 | $528.42 | |
Providence
| Facility | $322.75 | $770.90 | $793.79 |