| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.74 | $39.74 | $39.74 |
Midlands
| Facility | 26 | $83.98 | $83.98 | $83.98 |
Sanford Health Plan
| Professional | 26 | $35.20 | $55.95 | $75.04 |
Dilation Ureters/Urethra Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.74 | $39.74 | $39.74 |
Midlands
| Facility | 26 | $83.98 | $83.98 | $83.98 |
Sanford Health Plan
| Professional | 26 | $35.20 | $55.95 | $75.04 |