| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $326.27 | $421.94 | $537.01 | |
United
| Facility | $1,106.00 | $1,106.00 | $1,106.00 |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $864.50 | $2,747.00 | $2,898.00 | |
Kaiser Permanente
| Professional | $326.27 | $421.94 | $537.01 | |
United
| Facility | $1,106.00 | $1,106.00 | $1,106.00 |