| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $602.56 | $831.76 | |
Cigna
| Professional | $446.68 | $645.65 | $1,047.13 | |
United
| Professional | $489.78 | $691.83 | $1,905.46 |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $478.63 | $602.56 | $831.76 | |
Cigna
| Professional | $446.68 | $645.65 | $1,047.13 | |
United
| Professional | $489.78 | $691.83 | $1,905.46 |