| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $110.20 | $155.71 | $216.79 |
Lucent Health
| Facility | 26 | $372.83 | $737.24 | $759.81 |
Plmt Dstl Xtn Prsth Evasc Desc Thorac Aorta Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $110.20 | $155.71 | $216.79 |
Lucent Health
| Facility | 26 | $372.83 | $737.24 | $759.81 |