| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,560.00 | $7,200.00 | $10,260.00 | |
Anthem BCBS
| Facility | $3,939.35 | $5,312.00 | $11,936.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
Cysto Fragmentation Ureteral Stone
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,560.00 | $7,200.00 | $10,260.00 | |
Anthem BCBS
| Facility | $3,939.35 | $5,312.00 | $11,936.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |