| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $302.00 | $416.87 | $537.03 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Kaiser Permanente
| Professional | $302.00 | $416.87 | $537.03 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |