| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.08 | $457.09 | $630.96 | |
Cigna
| Professional | $363.08 | $501.19 | $812.83 | |
United
| Professional | $380.19 | $537.03 | $1,479.11 |
Ureteral endoscopy through ureterotomy, 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
| Professional | $363.08 | $457.09 | $630.96 | |
Cigna
| Professional | $363.08 | $501.19 | $812.83 | |
United
| Professional | $380.19 | $537.03 | $1,479.11 |