| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $442.81 | $483.06 | $563.57 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 |
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 | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $442.81 | $483.06 | $563.57 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 |