| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.65 | $81.28 | $87.10 |
Medica
| Facility | 26 | $93.33 | $93.33 | $173.78 |
Dilation of ureter(s) or urethra, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.65 | $81.28 | $87.10 |
Medica
| Facility | 26 | $93.33 | $93.33 | $173.78 |