| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $394.35 | $394.35 | $8,500.00 | |
Medica
| Facility | $394.35 | $545.63 | $1,183.05 |
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 | $394.35 | $394.35 | $8,500.00 | |
Medica
| Facility | $394.35 | $545.63 | $1,183.05 |