| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $9,120.11 | $15,488.17 | |
Horizon BCBS
| Facility | $21,877.62 | $33,884.42 | $52,480.75 | |
United
| Facility | $4,786.30 | $10,000.00 | $25,118.86 |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,466.84 | $9,120.11 | $15,488.17 | |
Horizon BCBS
| Facility | $21,877.62 | $33,884.42 | $52,480.75 | |
United
| Facility | $4,786.30 | $10,000.00 | $25,118.86 |