| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $2,014.42 | $2,438.62 | $3,280.73 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |
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 | $615.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $2,014.42 | $2,438.62 | $3,280.73 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |