| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,458.68 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |
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 | $4,458.68 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |