| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $1,023.29 | $17,378.01 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |
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 | $354.81 | $1,023.29 | $17,378.01 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |