| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $457.09 | $8,511.38 | |
Medica
| Facility | $165.96 | $478.63 | $912.01 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |
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 | $154.88 | $457.09 | $8,511.38 | |
Medica
| Facility | $165.96 | $478.63 | $912.01 | |
United
| Facility | $4,677.35 | $5,128.61 | $5,128.61 |