| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.91 | $473.91 | $8,500.00 | |
Medica
| Facility | $473.91 | $670.86 | $1,421.73 |
Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $473.91 | $473.91 | $8,500.00 | |
Medica
| Facility | $473.91 | $670.86 | $1,421.73 |