| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.06 | $90.42 | $182.11 |
Cigna
| Facility | 26 | $59.30 | $59.30 | $64.92 |
Medical Mutual of Ohio
| Facility | 26 | $59.30 | $59.30 | $64.92 |
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 | $50.06 | $90.42 | $182.11 |
Cigna
| Facility | 26 | $59.30 | $59.30 | $64.92 |
Medical Mutual of Ohio
| Facility | 26 | $59.30 | $59.30 | $64.92 |