| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.38 | $19.75 | $80.23 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $71.50 |
Florida Blue
| Facility | 26 | $26.07 | $26.07 | $26.07 |
Urography Nfs Drip &/Bolus W/Nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.38 | $19.75 | $80.23 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $71.50 |
Florida Blue
| Facility | 26 | $26.07 | $26.07 | $26.07 |