| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.92 | $26.92 | $31.62 |
Aetna
| Professional | $69.18 | $79.43 | $134.90 | |
Cigna
| Professional | $53.70 | $79.43 | $151.36 | |
United
| Professional | $57.54 | $89.13 | $173.78 |
Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.92 | $26.92 | $31.62 |
Aetna
| Professional | $69.18 | $79.43 | $134.90 | |
Cigna
| Professional | $53.70 | $79.43 | $151.36 | |
United
| Professional | $57.54 | $89.13 | $173.78 |