| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Kaiser Permanente
| Professional | $1,288.25 | $1,479.11 | $2,398.83 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,128.61 | $5,128.61 | $5,128.61 | |
Kaiser Permanente
| Professional | $1,288.25 | $1,479.11 | $2,398.83 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |