| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.40 | $85.40 | $85.40 |
Midlands
| Facility | 26 | $272.27 | $272.27 | $272.27 |
Sanford Health Plan
| Professional | 26 | $105.70 | $143.94 | $175.31 |
Angrph Cath F-Up Std Tcat Other Than Thrombylsis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.40 | $85.40 | $85.40 |
Midlands
| Facility | 26 | $272.27 | $272.27 | $272.27 |
Sanford Health Plan
| Professional | 26 | $105.70 | $143.94 | $175.31 |