| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.69 | $24.39 | $100.37 |
Cigna
| Facility | 26 | $15.99 | $15.99 | $15.99 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.69 | $24.39 | $100.37 |
Cigna
| Facility | 26 | $15.99 | $15.99 | $15.99 |