| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $426.58 | $467.74 | $575.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $4,466.84 | $4,466.84 | |
Kaiser Permanente
| Professional | $426.58 | $467.74 | $575.44 | |
United
| Facility | $1,995.26 | $1,995.26 | $1,995.26 |