| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $269.15 | $295.12 | $371.54 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
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 | $1,513.56 | $3,890.45 | $3,890.45 | |
Kaiser Permanente
| Professional | $269.15 | $295.12 | $371.54 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |