| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $4,073.80 | $7,762.47 | |
Kaiser Permanente
| Professional | $354.81 | $371.54 | $870.96 | |
United
| Facility | $2,344.23 | $14,454.40 | $26,302.68 |
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 | $407.38 | $4,073.80 | $7,762.47 | |
Kaiser Permanente
| Professional | $354.81 | $371.54 | $870.96 | |
United
| Facility | $2,344.23 | $14,454.40 | $26,302.68 |