| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.24 | $34.45 | $41.47 |
Cigna
| Facility | 26 | $44.41 | $44.41 | $44.41 |
Medcost
| Facility | 26 | $39.11 | $45.00 | $102.40 |
Wellcare
| Facility | 26 | $92.41 | $191.09 | $191.09 |
Dilation Ureters/Urethra Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.24 | $34.45 | $41.47 |
Cigna
| Facility | 26 | $44.41 | $44.41 | $44.41 |
Medcost
| Facility | 26 | $39.11 | $45.00 | $102.40 |
Wellcare
| Facility | 26 | $92.41 | $191.09 | $191.09 |