| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $794.33 | $1,000.00 | $1,380.38 | |
Cigna
| Professional | $676.08 | $1,071.52 | $1,778.28 | |
United
| Professional | $812.83 | $1,122.02 | $3,235.94 |
Cystotomy for excision, incision, or repair of ureterocele
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $794.33 | $1,000.00 | $1,380.38 | |
Cigna
| Professional | $676.08 | $1,071.52 | $1,778.28 | |
United
| Professional | $812.83 | $1,122.02 | $3,235.94 |