| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.51 | $53.70 | $109.65 |
Kaiser Permanente
| Professional | 26 | $22.91 | $30.90 | $83.18 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.51 | $53.70 | $109.65 |
Kaiser Permanente
| Professional | 26 | $22.91 | $30.90 | $83.18 |