| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,659.03 | $2,659.03 | $2,659.03 | |
Kaiser Permanente
| Professional | $452.23 | $601.47 | $963.02 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $2,659.03 | $2,659.03 | $2,659.03 | |
Kaiser Permanente
| Professional | $452.23 | $601.47 | $963.02 |