| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.02 | $38.02 | $45.71 |
Hometown Health
| Professional | 26 | $0.28 | $46.77 | $63.10 |
Dilation of ureter(s) or urethra, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.02 | $38.02 | $45.71 |
Hometown Health
| Professional | 26 | $0.28 | $46.77 | $63.10 |