| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.00 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $345.26 | $540.65 | $2,793.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 |
Ureteral Endoscopy Via Ureterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.00 | $3,498.00 | $10,439.00 | |
Medica
| Facility | $345.26 | $540.65 | $2,793.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,793.00 |