| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.86 | $54.86 | $54.86 |
Medcost
| Facility | 26 | $94.00 | $120.00 | $200.16 |
Prq Transhepatc Portograpy Hemodyn Eval Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.86 | $54.86 | $54.86 |
Medcost
| Facility | 26 | $94.00 | $120.00 | $200.16 |