| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.11 | $33.11 | $33.11 |
Medcost
| Facility | 26 | $39.11 | $46.00 | $102.40 |
Dilation Ureters/Urethra Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.11 | $33.11 | $33.11 |
Medcost
| Facility | 26 | $39.11 | $46.00 | $102.40 |