| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.80 | $496.80 | $8,500.00 | |
Medica
| Facility | $496.80 | $693.35 | $1,490.40 |
Cystotomy, with insertion of ureteral catheter or stent (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.80 | $496.80 | $8,500.00 | |
Medica
| Facility | $496.80 | $693.35 | $1,490.40 |