| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.88 | $12.88 | $12.88 |
Medcost
| Professional | 26 | $31.62 | $31.62 | $31.62 |
Urethrocystography, retrograde, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.88 | $12.88 | $12.88 |
Medcost
| Professional | 26 | $31.62 | $31.62 | $31.62 |