| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.52 | $31.78 | $52.29 |
Medica
| Facility | 26 | $54.52 | $54.52 | $117.00 |
Urography Nfs Drip &/Bolus W/Nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.52 | $31.78 | $52.29 |
Medica
| Facility | 26 | $54.52 | $54.52 | $117.00 |