| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $8,500.00 | $8,500.00 |
Unlisted Laparoscopy Procedure Ureter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $8,500.00 | $8,500.00 |