| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,630.78 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,258.93 | $1,949.84 | $7,762.47 | |
Providence
| Facility | $1,949.84 | $5,623.41 | $7,943.28 |
Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,630.78 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,258.93 | $1,949.84 | $7,762.47 | |
Providence
| Facility | $1,949.84 | $5,623.41 | $7,943.28 |