| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.11 | $25.31 | $27.92 |
Hally Health
| Professional | 26 | $18.69 | $26.39 | $148.97 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.11 | $25.31 | $27.92 |
Hally Health
| Professional | 26 | $18.69 | $26.39 | $148.97 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |