| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $6,025.60 | $14,125.38 | |
Highmark BCBS
| Facility | $3,467.37 | $3,467.37 | $26,302.68 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |
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 | $1,071.52 | $6,025.60 | $14,125.38 | |
Highmark BCBS
| Facility | $3,467.37 | $3,467.37 | $26,302.68 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |