| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.33 | $3,294.00 | $4,707.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |
Cysto W/Rescj/Fulg Orthopic Ureterocele Uni/Bi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $404.33 | $3,294.00 | $4,707.00 | |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |