| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.90 | $38.90 | $38.90 |
Midlands
| Professional | 26 | $77.62 | $83.18 | $93.33 |
Sanford Health Plan
| Professional | 26 | $35.48 | $52.48 | $75.86 |
Dilation of ureter(s) or urethra, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.90 | $38.90 | $38.90 |
Midlands
| Professional | 26 | $77.62 | $83.18 | $93.33 |
Sanford Health Plan
| Professional | 26 | $35.48 | $52.48 | $75.86 |