| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.19 | $4,004.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $453.47 | $1,058.20 | $1,058.20 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
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 | $515.19 | $4,004.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $453.47 | $1,058.20 | $1,058.20 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |