| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $1,778.28 | $2,398.83 | |
BCBS
| Facility | $4,073.80 | $4,786.30 | $6,456.54 | |
United
| Facility | $2,454.71 | $5,495.41 | $9,772.37 |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $1,778.28 | $2,398.83 | |
BCBS
| Facility | $4,073.80 | $4,786.30 | $6,456.54 | |
United
| Facility | $2,454.71 | $5,495.41 | $9,772.37 |