| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.62 | $103.62 | $103.62 |
Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.62 | $103.62 | $103.62 |