| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.15 | $2,993.72 | $3,955.04 | |
United
| Facility | $1,069.00 | $1,788.00 | $4,602.00 |
Cystotomy, with insertion of ureteral catheter or stent (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.15 | $2,993.72 | $3,955.04 | |
United
| Facility | $1,069.00 | $1,788.00 | $4,602.00 |