| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.85 | $15.85 | $15.85 |
Midlands
| Professional | 26 | $31.62 | $33.11 | $38.02 |
Sanford Health Plan
| Professional | 26 | $19.05 | $26.30 | $29.51 |
Urethrocystography, retrograde, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.85 | $15.85 | $15.85 |
Midlands
| Professional | 26 | $31.62 | $33.11 | $38.02 |
Sanford Health Plan
| Professional | 26 | $19.05 | $26.30 | $29.51 |