| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.36 | $43.36 | $43.36 |
Health Alliance Plan
| Facility | 26 | $29.65 | $29.65 | $43.36 |
Venous thrombosis imaging, venogram; unilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.36 | $43.36 | $43.36 |
Health Alliance Plan
| Facility | 26 | $29.65 | $29.65 | $43.36 |