| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,456.54 | $7,079.46 | $13,489.63 | |
Highmark BCBS
| Facility | $20,892.96 | $20,892.96 | $20,892.96 |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,456.54 | $7,079.46 | $13,489.63 | |
Highmark BCBS
| Facility | $20,892.96 | $20,892.96 | $20,892.96 |