| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,901.29 | $1,901.29 | $1,901.29 | |
Providence
| Facility | $939.27 | $2,087.80 | $2,187.19 |
Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,901.29 | $1,901.29 | $1,901.29 | |
Providence
| Facility | $939.27 | $2,087.80 | $2,187.19 |