| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,876.00 | $7,500.00 | |
Medica
| Facility | $184.73 | $841.60 | $1,883.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |
Balloon Dilat Ureteral Stricture W/Img Gid Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $2,876.00 | $7,500.00 | |
Medica
| Facility | $184.73 | $841.60 | $1,883.00 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 |