| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,659.03 | $2,659.03 | $2,659.03 | |
Kaiser Permanente
| Professional | $324.55 | $431.65 | $691.04 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $2,659.03 | $2,659.03 | $2,659.03 | |
Kaiser Permanente
| Professional | $324.55 | $431.65 | $691.04 |