| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.34 | $18.34 | $18.34 |
Midlands
| Facility | 26 | $62.81 | $62.81 | $62.81 |
Sanford Health Plan
| Professional | 26 | $23.09 | $30.64 | $34.93 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.34 | $18.34 | $18.34 |
Midlands
| Facility | 26 | $62.81 | $62.81 | $62.81 |
Sanford Health Plan
| Professional | 26 | $23.09 | $30.64 | $34.93 |