| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.91 | $22.91 | $32.36 |
Cigna
| Facility | 26 | $40.74 | $47.86 | $75.86 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Quartz
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Urethrocystography, retrograde, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.91 | $22.91 | $32.36 |
Cigna
| Facility | 26 | $40.74 | $47.86 | $75.86 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Quartz
| Facility | 26 | $100.00 | $100.00 | $100.00 |