| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.97 | $21.41 | $54.38 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $19.39 |
Medical Mutual of Ohio
| Facility | 26 | $17.75 | $17.75 | $19.39 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.97 | $21.41 | $54.38 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $19.39 |
Medical Mutual of Ohio
| Facility | 26 | $17.75 | $17.75 | $19.39 |