| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,259.93 | $8,965.00 | |
Anthem BCBS
| Facility | $1,449.90 | $1,611.00 | $3,700.00 | |
United
| Facility | $8,035.00 | $8,035.00 | $8,035.00 |
Ureteral Endoscopy Via Ureterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,259.93 | $8,965.00 | |
Anthem BCBS
| Facility | $1,449.90 | $1,611.00 | $3,700.00 | |
United
| Facility | $8,035.00 | $8,035.00 | $8,035.00 |