| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $24.19 | $24.19 | $29.90 |
Providence
| Facility | 26 | $24.19 | $24.19 | $29.90 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $24.19 | $24.19 | $29.90 |
Providence
| Facility | 26 | $24.19 | $24.19 | $29.90 |