| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.26 | $60.26 | $85.11 |
Cigna
| Facility | 26 | $107.15 | $123.03 | $199.53 |
Medica
| Facility | 26 | $194.98 | $194.98 | $194.98 |
Quartz
| Facility | 26 | $100.00 | $263.03 | $263.03 |
Lymphangiography, extremity only, unilateral, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.26 | $60.26 | $85.11 |
Cigna
| Facility | 26 | $107.15 | $123.03 | $199.53 |
Medica
| Facility | 26 | $194.98 | $194.98 | $194.98 |
Quartz
| Facility | 26 | $100.00 | $263.03 | $263.03 |