| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,012.80 | $5,076.00 | $6,743.00 | |
Kaiser Permanente
| Professional | $419.20 | $915.77 | $915.77 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,012.80 | $5,076.00 | $6,743.00 | |
Kaiser Permanente
| Professional | $419.20 | $915.77 | $915.77 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |