| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $433.79 | $433.79 | $433.79 | |
Providence
| Facility | $214.42 | $531.04 | $543.95 |
Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $433.79 | $433.79 | $433.79 | |
Providence
| Facility | $214.42 | $531.04 | $543.95 |