| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,123.46 | $1,123.46 | $8,500.00 | |
Medica
| Facility | $1,123.46 | $1,569.26 | $3,370.38 |
Ureteroureterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,123.46 | $1,123.46 | $8,500.00 | |
Medica
| Facility | $1,123.46 | $1,569.26 | $3,370.38 |