| 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 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
| 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 |