| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,147.75 | $3,147.75 | $5,177.68 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |
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 | $3,147.75 | $3,147.75 | $5,177.68 | |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |