| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.22 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $864.15 | $1,952.77 | $1,952.77 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |
Balloon Dilat Ureteral Stricture W/Img Gid Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $971.22 | $2,080.00 | $4,100.00 | |
Kaiser Permanente
| Professional | $864.15 | $1,952.77 | $1,952.77 | |
United
| Facility | $165.00 | $442.00 | $5,940.00 |