| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,958.40 | $1,958.40 | $1,958.40 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |
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 | $1,958.40 | $1,958.40 | $1,958.40 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |