| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.96 | $140.22 | $175.27 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Medica
| Facility | 26 | $193.75 | $193.75 | $193.75 |
Lymphangiography Extremity Only Unilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.96 | $140.22 | $175.27 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Medica
| Facility | 26 | $193.75 | $193.75 | $193.75 |