| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.23 | $107.23 | $135.10 |
Cigna
| Facility | 26 | $102.86 | $102.86 | $102.86 |
Health Alliance Plan
| Facility | 26 | $69.68 | $69.68 | $135.10 |
Angrph Cath F-Up Std Tcat Other Than Thrombylsis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.23 | $107.23 | $135.10 |
Cigna
| Facility | 26 | $102.86 | $102.86 | $102.86 |
Health Alliance Plan
| Facility | 26 | $69.68 | $69.68 | $135.10 |