| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.32 | $52.32 | $52.32 |
Midlands
| Facility | 26 | $179.02 | $179.02 | $179.02 |
Sanford Health Plan
| Professional | 26 | $67.90 | $87.38 | $99.62 |
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 | $52.32 | $52.32 | $52.32 |
Midlands
| Facility | 26 | $179.02 | $179.02 | $179.02 |
Sanford Health Plan
| Professional | 26 | $67.90 | $87.38 | $99.62 |