| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,399.72 | $1,399.72 | $1,399.72 | |
Martin's Point
| Facility | $1,399.72 | $1,399.72 | $1,399.72 |
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,399.72 | $1,399.72 | $1,399.72 | |
Martin's Point
| Facility | $1,399.72 | $1,399.72 | $1,399.72 |