| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.08 | $50.21 | $135.84 |
Cigna
| Facility | 26 | $87.06 | $87.06 | $87.06 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $51.50 | $53.00 | $87.06 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.08 | $50.21 | $135.84 |
Cigna
| Facility | 26 | $87.06 | $87.06 | $87.06 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $51.50 | $53.00 | $87.06 |