| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,004.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $281.57 | $615.95 | $615.95 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
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 | $1,017.00 | $4,004.00 | $4,601.00 | |
Kaiser Permanente
| Professional | $281.57 | $615.95 | $615.95 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |