| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.01 | $16.01 | $16.01 |
Midlands
| Facility | 26 | $53.00 | $53.00 | $53.00 |
Sanford Health Plan
| Professional | 26 | $20.16 | $26.10 | $29.79 |
Urethrocystography Retrograde Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.01 | $16.01 | $16.01 |
Midlands
| Facility | 26 | $53.00 | $53.00 | $53.00 |
Sanford Health Plan
| Professional | 26 | $20.16 | $26.10 | $29.79 |