| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,650.00 | $7,360.00 | $10,260.00 | |
Anthem BCBS
| Facility | $2,402.00 | $8,888.00 | $15,915.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,650.00 | $7,360.00 | $10,260.00 | |
Anthem BCBS
| Facility | $2,402.00 | $8,888.00 | $15,915.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |