| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.61 | $177.83 | $234.42 |
Medica
| Facility | 26 | $181.97 | $346.74 | $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 | $67.61 | $177.83 | $234.42 |
Medica
| Facility | 26 | $181.97 | $346.74 | $346.74 |