| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.66 | $52.66 | $52.66 |
Medcost
| Facility | 26 | $68.79 | $116.88 | $129.55 |
Iv Dop Vel&/Or Press C/Flo Rsrv Meas Addl Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.66 | $52.66 | $52.66 |
Medcost
| Facility | 26 | $68.79 | $116.88 | $129.55 |