| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $11,220.18 | $18,197.01 | |
Moda Health
| Facility | $1,380.38 | $2,238.72 | $9,120.11 | |
Providence
| Facility | $2,290.87 | $6,456.54 | $9,332.54 |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $11,220.18 | $18,197.01 | |
Moda Health
| Facility | $1,380.38 | $2,238.72 | $9,120.11 | |
Providence
| Facility | $2,290.87 | $6,456.54 | $9,332.54 |