| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.80 | $1,105.80 | $8,500.00 | |
Medica
| Facility | $1,105.80 | $1,551.41 | $16,580.30 |
Ureteroneocystostomy Anast 1 Ureter Bladder
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,105.80 | $1,105.80 | $8,500.00 | |
Medica
| Facility | $1,105.80 | $1,551.41 | $16,580.30 |