| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.80 | $60.80 | $60.80 |
Medica
| Facility | 26 | $165.61 | $412.00 | $412.00 |
Endoluminal Coronary Ivus Oct I&R Addl Vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.80 | $60.80 | $60.80 |
Medica
| Facility | 26 | $165.61 | $412.00 | $412.00 |