| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $606.79 | $2,294.17 | $3,280.66 | |
Providence
| Facility | $606.79 | $2,294.17 | $3,280.66 |
Cystotomy, with insertion of ureteral catheter or stent (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,236.00 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $606.79 | $2,294.17 | $3,280.66 | |
Providence
| Facility | $606.79 | $2,294.17 | $3,280.66 |