| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.86 | $46.70 | $102.55 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
Kaiser Permanente
| Professional | 26 | $24.67 | $39.33 | $86.06 |
Urography Nfs Drip &/Bolus W/Nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.86 | $46.70 | $102.55 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
Kaiser Permanente
| Professional | 26 | $24.67 | $39.33 | $86.06 |