| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.99 | $26.06 | $30.66 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
Kaiser Permanente
| Professional | 26 | $24.98 | $27.25 | $31.79 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.99 | $26.06 | $30.66 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
Kaiser Permanente
| Professional | 26 | $24.98 | $27.25 | $31.79 |