| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $407.38 | $467.74 | $794.33 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |
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 | $2,630.27 | $2,630.27 | $2,630.27 | |
Kaiser Permanente
| Professional | $407.38 | $467.74 | $794.33 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,621.81 |