| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.73 | $23.73 | $23.73 |
Sanford Health Plan
| Professional | 26 | $28.75 | $38.86 | $44.64 |
Kidney Imaging Morphoogy W/Vascular Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.73 | $23.73 | $23.73 |
Sanford Health Plan
| Professional | 26 | $28.75 | $38.86 | $44.64 |