| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.23 | $91.23 | $91.23 |
Cigna
| Facility | 26 | $87.95 | $87.95 | $87.95 |
Health Alliance Plan
| Facility | 26 | $64.70 | $64.70 | $91.23 |
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 | $91.23 | $91.23 | $91.23 |
Cigna
| Facility | 26 | $87.95 | $87.95 | $87.95 |
Health Alliance Plan
| Facility | 26 | $64.70 | $64.70 | $91.23 |