| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.39 | $57.27 | $94.24 |
Medica
| Facility | 26 | $96.62 | $96.62 | $193.75 |
Lymphangiography Extremity Only Unilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.39 | $57.27 | $94.24 |
Medica
| Facility | 26 | $96.62 | $96.62 | $193.75 |