| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
BCBS
| Facility | $7,887.20 | $9,968.79 | $20,019.25 | |
United
| Facility | $2,569.00 | $3,447.00 | $5,685.00 |
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 | $2,993.72 | $3,706.14 | $3,955.04 | |
BCBS
| Facility | $7,887.20 | $9,968.79 | $20,019.25 | |
United
| Facility | $2,569.00 | $3,447.00 | $5,685.00 |