| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.95 | $22.39 | $22.39 |
Cigna
| Facility | 26 | $5.62 | $26.30 | $38.02 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.95 | $22.39 | $22.39 |
Cigna
| Facility | 26 | $5.62 | $26.30 | $38.02 |