| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,706.07 | $9,706.07 | $9,706.07 | |
Cigna
| Facility | $5,162.83 | $5,162.83 | $5,162.83 | |
Kaiser Permanente
| Professional | $1,308.15 | $1,739.84 | $2,784.52 |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,706.07 | $9,706.07 | $9,706.07 | |
Cigna
| Facility | $5,162.83 | $5,162.83 | $5,162.83 | |
Kaiser Permanente
| Professional | $1,308.15 | $1,739.84 | $2,784.52 |