| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,075.00 | $3,075.00 | $3,787.95 | |
United
| Facility | $2,654.00 | $3,447.00 | $7,350.00 |
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 | $3,075.00 | $3,075.00 | $3,787.95 | |
United
| Facility | $2,654.00 | $3,447.00 | $7,350.00 |