| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,196.00 | $5,194.00 | $8,031.00 | |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $9,678.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,196.00 | $5,194.00 | $8,031.00 | |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $9,678.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |