| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,339.36 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $1,323.01 | $1,683.82 | $1,971.90 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,339.36 | $7,838.38 | $8,226.04 | |
Providence
| Facility | $1,323.01 | $1,683.82 | $1,971.90 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |