| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.76 | $308.76 | $8,500.00 | |
Medica
| Facility | $308.76 | $428.28 | $926.28 |
Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.76 | $308.76 | $8,500.00 | |
Medica
| Facility | $308.76 | $428.28 | $926.28 |