| 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 | $1,174.90 | $1,348.96 | $2,187.76 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |
Laparoscopy, surgical; ureteroneocystostomy without 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 | $1,174.90 | $1,348.96 | $2,187.76 | |
United
| Facility | $3,548.13 | $3,548.13 | $3,548.13 |