| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.39 | $50.41 | $82.94 |
Medica
| Facility | 26 | $82.42 | $82.42 | $82.42 |
Venous thrombosis imaging, venogram; unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.39 | $50.41 | $82.94 |
Medica
| Facility | 26 | $82.42 | $82.42 | $82.42 |