| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.04 | $50.04 | $50.04 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Health Alliance Plan
| Facility | 26 | $38.33 | $38.33 | $50.04 |
Lymphangiography Extremity Only Unilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.04 | $50.04 | $50.04 |
Cigna
| Facility | 26 | $48.31 | $48.31 | $48.31 |
Health Alliance Plan
| Facility | 26 | $38.33 | $38.33 | $50.04 |