| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,769.28 | $4,769.28 | $13,770.73 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |
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 | $4,769.28 | $4,769.28 | $13,770.73 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 |