| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.44 | $39.44 | $39.44 |
Hally Health
| Professional | 26 | $104.57 | $104.57 | $132.22 |
Regence BlueShield
| Facility | 26 | $446.45 | $446.45 | $446.45 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.44 | $39.44 | $39.44 |
Hally Health
| Professional | 26 | $104.57 | $104.57 | $132.22 |
Regence BlueShield
| Facility | 26 | $446.45 | $446.45 | $446.45 |