| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $3,019.95 | $3,981.07 | |
United
| Facility | $3,235.94 | $7,413.10 | $13,182.57 |
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 | $2,344.23 | $3,019.95 | $3,981.07 | |
United
| Facility | $3,235.94 | $7,413.10 | $13,182.57 |