| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $177.83 | $194.98 | $245.47 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
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 | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $177.83 | $194.98 | $245.47 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |