| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.10 | $5,043.35 | $12,082.98 | |
Highmark BCBS
| Facility | $5,752.95 | $7,694.09 | $23,653.70 |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.10 | $5,043.35 | $12,082.98 | |
Highmark BCBS
| Facility | $5,752.95 | $7,694.09 | $23,653.70 |