| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.86 | $260.93 | $326.14 |
Cigna
| Facility | 26 | $87.95 | $87.95 | $87.95 |
Medica
| Facility | 26 | $181.03 | $345.15 | $345.15 |
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 | $107.86 | $260.93 | $326.14 |
Cigna
| Facility | 26 | $87.95 | $87.95 | $87.95 |
Medica
| Facility | 26 | $181.03 | $345.15 | $345.15 |