| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.63 | $5,843.00 | $11,298.00 | |
Horizon BCBS
| Facility | $9,973.98 | $9,973.98 | $21,935.56 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |
Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.63 | $5,843.00 | $11,298.00 | |
Horizon BCBS
| Facility | $9,973.98 | $9,973.98 | $21,935.56 | |
United
| Facility | $4,415.00 | $7,250.00 | $10,536.00 |