| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.05 | $420.05 | $1,700.00 | |
CareSource
| Facility | $470.57 | $523.29 | $570.13 | |
Cigna
| Facility | $504.00 | $504.00 | $504.00 |
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 | $420.05 | $420.05 | $1,700.00 | |
CareSource
| Facility | $470.57 | $523.29 | $570.13 | |
Cigna
| Facility | $504.00 | $504.00 | $504.00 |