| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $469.54 | $1,025.80 | $1,025.80 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |
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 | $1,017.00 | $4,100.00 | $6,945.00 | |
Kaiser Permanente
| Professional | $469.54 | $1,025.80 | $1,025.80 | |
United
| Facility | $1,832.00 | $2,343.00 | $26,408.00 |