| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.77 | $52.77 | $52.77 |
Midlands
| Facility | 26 | $187.99 | $187.99 | $187.99 |
Sanford Health Plan
| Professional | 26 | $69.19 | $87.95 | $100.27 |
Lymphangiography Pelvic/Abdominal Bilateral Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.77 | $52.77 | $52.77 |
Midlands
| Facility | 26 | $187.99 | $187.99 | $187.99 |
Sanford Health Plan
| Professional | 26 | $69.19 | $87.95 | $100.27 |