| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $81.50 | $81.50 | $100.75 |
Providence
| Facility | 26 | $81.50 | $81.50 | $100.75 |
Lymphangiography Pelvic/Abdominal Bilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $81.50 | $81.50 | $100.75 |
Providence
| Facility | 26 | $81.50 | $81.50 | $100.75 |