| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,404.52 | $6,835.00 | $13,448.01 | |
Highmark BCBS
| Facility | $20,967.50 | $20,967.50 | $20,967.50 |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,404.52 | $6,835.00 | $13,448.01 | |
Highmark BCBS
| Facility | $20,967.50 | $20,967.50 | $20,967.50 |