| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $94.11 | $94.11 | $94.11 |
Sanford Health Plan
| Professional | 26 | $109.70 | $146.96 | $179.28 |
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 | $94.11 | $94.11 | $94.11 |
Sanford Health Plan
| Professional | 26 | $109.70 | $146.96 | $179.28 |