| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.33 | $2,910.00 | $4,387.00 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |
Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.33 | $2,910.00 | $4,387.00 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |