| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.52 | $91.52 | $91.52 |
Midlands
| Facility | 26 | $319.36 | $319.36 | $319.36 |
Sanford Health Plan
| Professional | 26 | $119.80 | $157.74 | $179.84 |
Us Cmprn Rpr Artl Pseudoarysm/Arven Fstl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.52 | $91.52 | $91.52 |
Midlands
| Facility | 26 | $319.36 | $319.36 | $319.36 |
Sanford Health Plan
| Professional | 26 | $119.80 | $157.74 | $179.84 |