| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $475.85 | $475.85 | $475.85 | |
Providence
| Facility | $293.85 | $705.90 | $726.74 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $475.85 | $475.85 | $475.85 | |
Providence
| Facility | $293.85 | $705.90 | $726.74 |