| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.66 | $109.65 | $177.83 |
Cigna
| Facility | 26 | $15.85 | $15.85 | $15.85 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.66 | $109.65 | $177.83 |
Cigna
| Facility | 26 | $15.85 | $15.85 | $15.85 |