| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.30 | $30.90 | $151.36 |
Cigna
| Facility | 26 | $25.12 | $25.12 | $39.81 |
Medica
| Facility | 26 | $93.33 | $173.78 | $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 | $26.30 | $30.90 | $151.36 |
Cigna
| Facility | 26 | $25.12 | $25.12 | $39.81 |
Medica
| Facility | 26 | $93.33 | $173.78 | $173.78 |