| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.30 | $351.87 | $1,400.00 | |
CareSource
| Facility | $323.79 | $360.05 | $392.27 | |
Cigna
| Facility | $519.19 | $519.19 | $519.19 |
Ureteral Endoscopy Via Ureterostomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.30 | $351.87 | $1,400.00 | |
CareSource
| Facility | $323.79 | $360.05 | $392.27 | |
Cigna
| Facility | $519.19 | $519.19 | $519.19 |