| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $42.66 | $154.88 |
AllWays Health Partners
| Facility | 26 | $91.20 | $239.88 | $239.88 |
Mass General Brigham
| Facility | 26 | $91.20 | $239.88 | $239.88 |
Dilation of ureter(s) or urethra, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.05 | $42.66 | $154.88 |
AllWays Health Partners
| Facility | 26 | $91.20 | $239.88 | $239.88 |
Mass General Brigham
| Facility | 26 | $91.20 | $239.88 | $239.88 |