| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $119.88 | $119.88 | $148.19 |
Providence
| Facility | 26 | $119.88 | $119.88 | $148.19 |
Ultrasound Trgt Dynamic Microbubble 1st Lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $119.88 | $119.88 | $148.19 |
Providence
| Facility | 26 | $119.88 | $119.88 | $148.19 |