| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $1,370.20 | $1,494.77 | $1,743.90 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Kaiser Permanente
| Professional | $1,370.20 | $1,494.77 | $1,743.90 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |