| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,600.00 | $8,260.71 | $8,260.71 | |
CareSource
| Facility | $260.47 | $289.79 | $315.72 | |
Cigna
| Facility | $277.82 | $277.82 | $277.82 |
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,600.00 | $8,260.71 | $8,260.71 | |
CareSource
| Facility | $260.47 | $289.79 | $315.72 | |
Cigna
| Facility | $277.82 | $277.82 | $277.82 |