| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.24 | $28.24 | $28.24 |
Cigna
| Facility | 26 | $26.68 | $26.68 | $26.68 |
Health Alliance Plan
| Facility | 26 | $19.64 | $19.64 | $28.24 |
Aortography, thoracic, without serialography, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.24 | $28.24 | $28.24 |
Cigna
| Facility | 26 | $26.68 | $26.68 | $26.68 |
Health Alliance Plan
| Facility | 26 | $19.64 | $19.64 | $28.24 |