| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.00 | $17.22 | $26.21 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $17.75 |
Medcost
| Facility | 26 | $24.56 | $28.00 | $47.82 |
Wellcare
| Facility | 26 | $49.08 | $100.00 | $100.00 |
Urethrocystography, retrograde, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.00 | $17.22 | $26.21 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $17.75 |
Medcost
| Facility | 26 | $24.56 | $28.00 | $47.82 |
Wellcare
| Facility | 26 | $49.08 | $100.00 | $100.00 |