| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $258.69 | $258.69 | $258.69 | |
Providence
| Facility | $160.16 | $944.45 | $975.32 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $258.69 | $258.69 | $258.69 | |
Providence
| Facility | $160.16 | $944.45 | $975.32 |