| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.22 | $154.88 | $311.19 | |
Medica
| Facility | $46.59 | $110.92 | $267.44 | |
Medica
| Professional | $816.00 | $1,397.77 | $1,397.77 |
Injection Procedure Pyelography Via Tube/Cath
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.22 | $154.88 | $311.19 | |
Medica
| Facility | $46.59 | $110.92 | $267.44 | |
Medica
| Professional | $816.00 | $1,397.77 | $1,397.77 |