| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $341.72 | $414.62 | $8,500.00 | |
Medica
| Facility | $341.72 | $472.76 | $1,025.16 |
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 | $341.72 | $414.62 | $8,500.00 | |
Medica
| Facility | $341.72 | $472.76 | $1,025.16 |