| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $464.99 | $1,731.45 | $2,475.96 | |
Providence
| Facility | $464.99 | $1,731.45 | $2,475.96 |
Cystourethroscopy with ureteroscopy; 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 | $3,741.00 | $10,175.36 | $13,413.92 | |
Moda Health
| Facility | $464.99 | $1,731.45 | $2,475.96 | |
Providence
| Facility | $464.99 | $1,731.45 | $2,475.96 |