| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.45 | $0.45 | $597.40 | |
Martin's Point
| Facility | $0.45 | $0.45 | $0.45 |
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 | $0.45 | $0.45 | $597.40 | |
Martin's Point
| Facility | $0.45 | $0.45 | $0.45 |