| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $372.56 | $1,400.00 | |
CareSource
| Facility | $345.21 | $383.93 | $418.30 | |
Cigna
| Facility | $553.54 | $553.54 | $553.54 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $372.56 | $1,400.00 | |
CareSource
| Facility | $345.21 | $383.93 | $418.30 | |
Cigna
| Facility | $553.54 | $553.54 | $553.54 |