| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $4,073.80 | $7,762.47 | |
Kaiser Permanente
| Professional | $169.82 | $177.83 | $407.38 | |
United
| Facility | $2,344.23 | $14,454.40 | $26,302.68 |
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $4,073.80 | $7,762.47 | |
Kaiser Permanente
| Professional | $169.82 | $177.83 | $407.38 | |
United
| Facility | $2,344.23 | $14,454.40 | $26,302.68 |