| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $115.77 | $115.77 | $115.77 |
Cigna
| Facility | 26 | $99.24 | $99.24 | $99.24 |
Health Alliance Plan
| Facility | 26 | $94.79 | $94.79 | $115.77 |
Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $115.77 | $115.77 | $115.77 |
Cigna
| Facility | 26 | $99.24 | $99.24 | $99.24 |
Health Alliance Plan
| Facility | 26 | $94.79 | $94.79 | $115.77 |