| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.39 | $13.39 | $13.39 |
Medcost
| Facility | 26 | $24.27 | $28.00 | $47.82 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.39 | $13.39 | $13.39 |
Medcost
| Facility | 26 | $24.27 | $28.00 | $47.82 |