| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.05 | $284.05 | $8,500.00 | |
Medica
| Facility | $284.05 | $393.54 | $852.15 |
Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.05 | $284.05 | $8,500.00 | |
Medica
| Facility | $284.05 | $393.54 | $852.15 |