| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,614.00 | $5,076.00 | $6,945.00 | |
CareFirst
| Professional | $2,874.00 | $5,359.00 | $19,073.00 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |
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 | $1,614.00 | $5,076.00 | $6,945.00 | |
CareFirst
| Professional | $2,874.00 | $5,359.00 | $19,073.00 | |
United
| Facility | $1,832.00 | $6,073.00 | $26,408.00 |