| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.04 | $43.85 | $91.07 |
Hally Health
| Professional | 26 | $42.81 | $62.27 | $398.87 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Dilation Ureters/Urethra Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.04 | $43.85 | $91.07 |
Hally Health
| Professional | 26 | $42.81 | $62.27 | $398.87 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |