| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $264.95 | $264.95 | $264.95 |
Plmt Dstl Xtn Prsth Evasc Desc Thorac Aorta Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $264.95 | $264.95 | $264.95 |