| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.00 | $259.00 | $259.00 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 |
Unlisted genitourinary procedure, diagnostic nuclear medicine
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $259.00 | $259.00 | $259.00 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 |