| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.48 | $52.48 | $52.48 |
Midlands
| Professional | 26 | $104.71 | $109.65 | $131.83 |
Sanford Health Plan
| Professional | 26 | $64.57 | $87.10 | $102.33 |
Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.48 | $52.48 | $52.48 |
Midlands
| Professional | 26 | $104.71 | $109.65 | $131.83 |
Sanford Health Plan
| Professional | 26 | $64.57 | $87.10 | $102.33 |