| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.02 | $41.02 | $41.02 |
Midlands
| Facility | 26 | $144.24 | $144.24 | $144.24 |
Sanford Health Plan
| Professional | 26 | $52.50 | $72.63 | $82.80 |
Lymphangiography, extremity only, unilateral, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.02 | $41.02 | $41.02 |
Midlands
| Facility | 26 | $144.24 | $144.24 | $144.24 |
Sanford Health Plan
| Professional | 26 | $52.50 | $72.63 | $82.80 |