| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.73 | $279.73 | $8,500.00 | |
Medica
| Facility | $279.73 | $387.95 | $839.19 |
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 | $279.73 | $279.73 | $8,500.00 | |
Medica
| Facility | $279.73 | $387.95 | $839.19 |