| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,096.84 | $1,396.00 | $1,683.72 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |
Ureteroneocystostomy Anast 1 Ureter Bladder
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,096.84 | $1,396.00 | $1,683.72 | |
United
| Facility | $4,834.00 | $6,599.00 | $7,158.00 |