| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.27 | $446.27 | $8,500.00 | |
Medica
| Facility | $446.27 | $616.82 | $1,338.81 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $446.27 | $446.27 | $8,500.00 | |
Medica
| Facility | $446.27 | $616.82 | $1,338.81 |