| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,329.55 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,406.25 | $5,265.68 | $7,529.92 | |
Providence
| Facility | $1,406.25 | $5,265.68 | $7,529.92 |
Ureteroureterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,329.55 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,406.25 | $5,265.68 | $7,529.92 | |
Providence
| Facility | $1,406.25 | $5,265.68 | $7,529.92 |