| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $3,162.28 | $5,128.61 | |
United
| Facility | $2,630.27 | $4,365.16 | $10,471.29 |
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 | $3,162.28 | $3,162.28 | $5,128.61 | |
United
| Facility | $2,630.27 | $4,365.16 | $10,471.29 |