| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,301.91 | $3,301.91 | $3,301.91 | |
Martin's Point
| Facility | $3,301.91 | $3,301.91 | $3,301.91 |
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 | $3,301.91 | $3,301.91 | $3,301.91 | |
Martin's Point
| Facility | $3,301.91 | $3,301.91 | $3,301.91 |