| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,227.03 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $208.20 | $1,083.07 | $2,716.74 | |
Providence
| Facility | $208.20 | $1,083.07 | $2,716.74 |
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,227.03 | $7,340.00 | $13,413.92 | |
Moda Health
| Facility | $208.20 | $1,083.07 | $2,716.74 | |
Providence
| Facility | $208.20 | $1,083.07 | $2,716.74 |