| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.15 | $43.65 | $117.49 |
Hally Health
| Professional | 26 | $40.74 | $74.13 | $446.68 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Dilation of ureter(s) or urethra, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.15 | $43.65 | $117.49 |
Hally Health
| Professional | 26 | $40.74 | $74.13 | $446.68 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |