| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.83 | $15.61 | $18.73 |
Hometown Health
| Professional | 26 | $0.18 | $19.84 | $25.48 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.83 | $15.61 | $18.73 |
Hometown Health
| Professional | 26 | $0.18 | $19.84 | $25.48 |