| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.60 | $64.06 | $833.04 |
3d Echo Img&Pst-Pxessing Tee/Tte Cgen Car Anomal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.60 | $64.06 | $833.04 |