| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.56 | $62.56 | $62.56 |
Cigna
| Facility | 26 | $60.17 | $60.17 | $60.17 |
Health Alliance Plan
| Facility | 26 | $47.53 | $47.53 | $62.56 |
Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.56 | $62.56 | $62.56 |
Cigna
| Facility | 26 | $60.17 | $60.17 | $60.17 |
Health Alliance Plan
| Facility | 26 | $47.53 | $47.53 | $62.56 |