| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.42 | $43.65 | $104.71 |
BCBS
| Facility | 26 | $26.30 | $26.30 | $26.30 |
Cigna
| Facility | 26 | $5.62 | $30.20 | $72.44 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.42 | $43.65 | $104.71 |
BCBS
| Facility | 26 | $26.30 | $26.30 | $26.30 |
Cigna
| Facility | 26 | $5.62 | $30.20 | $72.44 |
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