| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.44 | $78.44 | $78.44 |
Midlands
| Facility | 26 | $240.79 | $240.79 | $240.79 |
Sanford Health Plan
| Professional | 26 | $82.89 | $125.38 | $147.49 |
Ultrasound Trgt Dynamic Microbubble 1st Lesion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.44 | $78.44 | $78.44 |
Midlands
| Facility | 26 | $240.79 | $240.79 | $240.79 |
Sanford Health Plan
| Professional | 26 | $82.89 | $125.38 | $147.49 |