| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,299.22 | $1,417.33 | $1,653.55 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $1,299.22 | $1,417.33 | $1,653.55 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |