| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.30 | $371.30 | $1,700.00 | |
CareSource
| Facility | $415.88 | $462.28 | $503.66 | |
Cigna
| Facility | $445.50 | $445.50 | $445.50 |
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 | $371.30 | $371.30 | $1,700.00 | |
CareSource
| Facility | $415.88 | $462.28 | $503.66 | |
Cigna
| Facility | $445.50 | $445.50 | $445.50 |