| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.95 | $20.51 | $35.36 |
Medica
| Facility | 26 | $36.72 | $36.72 | $100.00 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.95 | $20.51 | $35.36 |
Medica
| Facility | 26 | $36.72 | $36.72 | $100.00 |