| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $977.24 | $1,202.26 | $1,737.80 | |
Cigna
| Professional | $812.83 | $1,348.96 | $2,137.96 | |
United
| Professional | $1,000.00 | $1,348.96 | $3,890.45 |
Ureterolithotomy; upper one-third of ureter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $977.24 | $1,202.26 | $1,737.80 | |
Cigna
| Professional | $812.83 | $1,348.96 | $2,137.96 | |
United
| Professional | $1,000.00 | $1,348.96 | $3,890.45 |