| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $3,235.94 | $3,981.07 | |
United
| Facility | $2,570.40 | $4,677.35 | $7,585.78 |
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 | $2,398.83 | $3,235.94 | $3,981.07 | |
United
| Facility | $2,570.40 | $4,677.35 | $7,585.78 |