| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $505.82 | $505.82 | $505.82 | |
Providence
| Facility | $313.20 | $746.85 | $768.49 |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $505.82 | $505.82 | $505.82 | |
Providence
| Facility | $313.20 | $746.85 | $768.49 |