| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,276.33 | $2,174.63 | $2,655.98 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |
Ureteroneocystostomy Anast 1 Ureter Bladder
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,276.33 | $2,174.63 | $2,655.98 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |