| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.69 | $16.41 | $97.23 |
Lucent Health
| Facility | 26 | $42.64 | $100.00 | $297.00 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.69 | $16.41 | $97.23 |
Lucent Health
| Facility | 26 | $42.64 | $100.00 | $297.00 |