| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.00 | $936.00 | $2,193.81 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |
Balloon Dilat Ureteral Stricture W/Img Gid Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.00 | $936.00 | $2,193.81 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 |