| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $5,939.00 | $13,151.00 | |
Medica
| Facility | $525.00 | $771.00 | $3,943.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,923.00 |
Cystotomy, with insertion of ureteral catheter or stent (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,700.00 | $5,939.00 | $13,151.00 | |
Medica
| Facility | $525.00 | $771.00 | $3,943.00 | |
United
| Facility | $525.00 | $1,353.00 | $2,923.00 |