| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $630.96 | $870.96 | |
Cigna
| Professional | $489.78 | $676.08 | $1,096.48 | |
United
| Professional | $512.86 | $724.44 | $2,041.74 |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $630.96 | $870.96 | |
Cigna
| Professional | $489.78 | $676.08 | $1,096.48 | |
United
| Professional | $512.86 | $724.44 | $2,041.74 |