| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.89 | $123.12 | $153.88 |
Medica
| Facility | 26 | $82.42 | $161.97 | $161.97 |
Venous Thrombosis Imaging Venogram Unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.89 | $123.12 | $153.88 |
Medica
| Facility | 26 | $82.42 | $161.97 | $161.97 |