| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.34 | $467.34 | $8,500.00 | |
Medica
| Facility | $467.34 | $646.71 | $1,402.02 |
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 | $467.34 | $467.34 | $8,500.00 | |
Medica
| Facility | $467.34 | $646.71 | $1,402.02 |