| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.88 | $26.92 | $38.90 |
Aetna
| Professional | $91.20 | $128.82 | $275.42 | |
Cigna
| Professional | $64.57 | $104.71 | $229.09 | |
United
| Professional | $66.07 | $125.89 | $263.03 |
Urography, antegrade, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.88 | $26.92 | $38.90 |
Aetna
| Professional | $91.20 | $128.82 | $275.42 | |
Cigna
| Professional | $64.57 | $104.71 | $229.09 | |
United
| Professional | $66.07 | $125.89 | $263.03 |