| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.56 | $246.56 | $8,500.00 | |
Medica
| Facility | $246.56 | $341.57 | $739.68 |
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.56 | $246.56 | $8,500.00 | |
Medica
| Facility | $246.56 | $341.57 | $739.68 |