| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $66.25 | $66.25 | $81.90 |
Providence
| Facility | 26 | $66.25 | $66.25 | $81.90 |
Lymphangiography Extremity Only Unilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $66.25 | $66.25 | $81.90 |
Providence
| Facility | 26 | $66.25 | $66.25 | $81.90 |