| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.10 | $158.49 | $169.82 |
Medica
| Facility | 26 | $181.97 | $181.97 | $346.74 |
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 | $87.10 | $158.49 | $169.82 |
Medica
| Facility | 26 | $181.97 | $181.97 | $346.74 |