| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $120.23 | $120.23 | $147.91 |
Providence
| Facility | 26 | $120.23 | $120.23 | $147.91 |
Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $120.23 | $120.23 | $147.91 |
Providence
| Facility | 26 | $120.23 | $120.23 | $147.91 |