| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.23 | $840.23 | $840.23 | |
Cigna
| Facility | $2,222.04 | $2,222.04 | $2,222.04 | |
Kaiser Permanente
| Professional | $399.84 | $531.79 | $850.74 |
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 | $840.23 | $840.23 | $840.23 | |
Cigna
| Facility | $2,222.04 | $2,222.04 | $2,222.04 | |
Kaiser Permanente
| Professional | $399.84 | $531.79 | $850.74 |