| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.20 | $23.99 | $144.54 |
Cigna
| Facility | 26 | $22.39 | $22.39 | $36.31 |
Medica
| Facility | 26 | $54.95 | $117.49 | $117.49 |
Urography, infusion, drip technique and/or bolus technique; with nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.20 | $23.99 | $144.54 |
Cigna
| Facility | 26 | $22.39 | $22.39 | $36.31 |
Medica
| Facility | 26 | $54.95 | $117.49 | $117.49 |