| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,276.84 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,391.57 | $5,182.32 | $7,410.72 | |
Providence
| Facility | $1,391.57 | $5,182.32 | $7,410.72 |
Ureteroneocystostomy Anast 1 Ureter Bladder
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,276.84 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,391.57 | $5,182.32 | $7,410.72 | |
Providence
| Facility | $1,391.57 | $5,182.32 | $7,410.72 |