| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,224.81 | $3,195.38 | $5,291.08 | |
Cigna
| Facility | $2,659.03 | $2,659.03 | $2,659.03 | |
Kaiser Permanente
| Professional | $423.65 | $563.45 | $900.69 |
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 | $1,224.81 | $3,195.38 | $5,291.08 | |
Cigna
| Facility | $2,659.03 | $2,659.03 | $2,659.03 | |
Kaiser Permanente
| Professional | $423.65 | $563.45 | $900.69 |