| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.75 | $43.06 | $51.67 |
Hometown Health
| Professional | 26 | $0.45 | $55.94 | $71.98 |
Lymphangiography, extremity only, unilateral, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.75 | $43.06 | $51.67 |
Hometown Health
| Professional | 26 | $0.45 | $55.94 | $71.98 |