| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,990.68 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $4,021.45 | $11,075.34 | $12,977.57 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
Ureteroneocystostomy Anast 1 Ureter Bladder
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,990.68 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $4,021.45 | $11,075.34 | $12,977.57 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |