| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.73 | $18.73 | $23.61 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $17.75 |
Health Alliance Plan
| Facility | 26 | $13.57 | $18.73 | $19.67 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.73 | $18.73 | $23.61 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $17.75 |
Health Alliance Plan
| Facility | 26 | $13.57 | $18.73 | $19.67 |