| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,454.75 | $9,285.00 | $13,413.92 | |
Moda Health
| Facility | $496.50 | $1,850.58 | $2,646.33 | |
Providence
| Facility | $496.50 | $1,850.58 | $2,646.33 |
Cystourethroscopy with ureteroscopy; 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 | $3,454.75 | $9,285.00 | $13,413.92 | |
Moda Health
| Facility | $496.50 | $1,850.58 | $2,646.33 | |
Providence
| Facility | $496.50 | $1,850.58 | $2,646.33 |