| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.78 | $53.51 | $64.20 |
Hometown Health
| Professional | 26 | $0.49 | $65.43 | $85.55 |
Lymphangiography Pelvic/Abdominal Bilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.78 | $53.51 | $64.20 |
Hometown Health
| Professional | 26 | $0.49 | $65.43 | $85.55 |