| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.81 | $439.81 | $2,300.00 | |
CareSource
| Facility | $493.73 | $549.40 | $598.58 | |
Cigna
| Facility | $527.86 | $527.86 | $527.86 |
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 | $439.81 | $439.81 | $2,300.00 | |
CareSource
| Facility | $493.73 | $549.40 | $598.58 | |
Cigna
| Facility | $527.86 | $527.86 | $527.86 |