| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.94 | $4,174.00 | $9,860.00 | |
AmeriHealth
| Facility | $4,455.89 | $4,455.89 | $4,455.89 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
Balloon Dilat Ureteral Stricture W/Img Gid Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.94 | $4,174.00 | $9,860.00 | |
AmeriHealth
| Facility | $4,455.89 | $4,455.89 | $4,455.89 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |