| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.95 | $71.75 | $118.07 |
Medica
| Facility | 26 | $123.03 | $123.03 | $240.42 |
Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.95 | $71.75 | $118.07 |
Medica
| Facility | 26 | $123.03 | $123.03 | $240.42 |