| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $1,380.38 | $9,549.93 | |
Medica
| Facility | $1,380.38 | $2,041.74 | $5,888.44 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $1,380.38 | $9,549.93 | |
Medica
| Facility | $1,380.38 | $2,041.74 | $5,888.44 | |
United
| Facility | $10,715.19 | $12,022.64 | $12,022.64 |