| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $5,623.41 | $6,760.83 | $9,120.11 | |
United
| Facility | $831.76 | $3,019.95 | $4,365.16 |
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $5,623.41 | $6,760.83 | $9,120.11 | |
United
| Facility | $831.76 | $3,019.95 | $4,365.16 |