| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.62 | $100.00 | $100.00 |
Kaiser Permanente
| Professional | 26 | $107.15 | $117.49 | $125.89 |
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 | $77.62 | $100.00 | $100.00 |
Kaiser Permanente
| Professional | 26 | $107.15 | $117.49 | $125.89 |