| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.21 | $25.02 | $38.29 |
Aetna
| Professional | $104.34 | $166.25 | $290.81 | |
Cigna
| Professional | $64.92 | $100.66 | $202.31 | |
United
| Professional | $65.61 | $132.09 | $251.03 |
Urography, antegrade, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.21 | $25.02 | $38.29 |
Aetna
| Professional | $104.34 | $166.25 | $290.81 | |
Cigna
| Professional | $64.92 | $100.66 | $202.31 | |
United
| Professional | $65.61 | $132.09 | $251.03 |