| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,050.00 | $1,804.44 | $2,369.30 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |
Ureterotomy for insertion of indwelling stent, all types
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,050.00 | $1,804.44 | $2,369.30 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |