| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7,793.40 | $7,793.40 | $7,793.40 | |
CareFirst
| Professional | $2,675.00 | $2,675.00 | $2,675.00 | |
Cigna
| Facility | $5,040.18 | $5,040.18 | $5,040.18 |
Cystourethroscopy With Ureteroscopy And/Or Pyelo-Scopy With Lithotripsy And Ureteral Catheterization For Steerable Vacuum Aspiration Of The Kidney Collecting System Ureter Bladder And Urethra Ifapplicable (Must Use A Steerable Ureteral Catheter) (Desc Rvsd 1/1/23)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7,793.40 | $7,793.40 | $7,793.40 | |
CareFirst
| Professional | $2,675.00 | $2,675.00 | $2,675.00 | |
Cigna
| Facility | $5,040.18 | $5,040.18 | $5,040.18 |