| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $3,917.11 | $4,753.60 | $6,395.11 | |
United
| Facility | $805.00 | $2,780.00 | $4,949.00 |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $3,917.11 | $4,753.60 | $6,395.11 | |
United
| Facility | $805.00 | $2,780.00 | $4,949.00 |