| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.25 | $46.25 | $46.25 |
Cigna
| Facility | 26 | $44.41 | $44.41 | $44.41 |
Health Alliance Plan
| Facility | 26 | $20.98 | $20.98 | $47.08 |
Dilation Ureters/Urethra Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.25 | $46.25 | $46.25 |
Cigna
| Facility | 26 | $44.41 | $44.41 | $44.41 |
Health Alliance Plan
| Facility | 26 | $20.98 | $20.98 | $47.08 |