| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $4,897.79 | $7,413.10 | |
Anthem BCBS
| Facility | $6,309.57 | $11,748.98 | $13,803.84 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |
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 | $2,570.40 | $4,897.79 | $7,413.10 | |
Anthem BCBS
| Facility | $6,309.57 | $11,748.98 | $13,803.84 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |