| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $6,025.60 | |
Kaiser Permanente
| Professional | $234.42 | $257.04 | $323.59 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $6,025.60 | $6,025.60 | |
Kaiser Permanente
| Professional | $234.42 | $257.04 | $323.59 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |