| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.62 | $290.62 | $1,700.00 | |
CareSource
| Facility | $326.17 | $362.57 | $395.02 | |
Cigna
| Facility | $349.27 | $349.27 | $349.27 |
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 | $290.62 | $290.62 | $1,700.00 | |
CareSource
| Facility | $326.17 | $362.57 | $395.02 | |
Cigna
| Facility | $349.27 | $349.27 | $349.27 |