| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.08 | $457.09 | $630.96 | |
Cigna
| Professional | $363.08 | $489.78 | $794.33 | |
United
| Professional | $371.54 | $524.81 | $1,479.11 |
Ureteral endoscopy through ureterotomy, 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
| Professional | $363.08 | $457.09 | $630.96 | |
Cigna
| Professional | $363.08 | $489.78 | $794.33 | |
United
| Professional | $371.54 | $524.81 | $1,479.11 |