| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.75 | $26.75 | $26.75 |
Sanford Health Plan
| Professional | 26 | $33.59 | $45.84 | $52.40 |
Liver and spleen imaging; with vascular flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.75 | $26.75 | $26.75 |
Sanford Health Plan
| Professional | 26 | $33.59 | $45.84 | $52.40 |