| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,183.67 | $1,506.48 | $1,748.86 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,183.67 | $1,506.48 | $1,748.86 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |