| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,776.50 | $3,706.14 | $4,026.21 | |
United
| Facility | $2,654.00 | $3,447.00 | $7,350.00 |
Cystourethroscopy W/Rmvl Ureteral Calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,776.50 | $3,706.14 | $4,026.21 | |
United
| Facility | $2,654.00 | $3,447.00 | $7,350.00 |