| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.98 | $79.98 | $79.98 |
Sanford Health Plan
| Professional | 26 | $98.69 | $133.26 | $240.20 |
Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.98 | $79.98 | $79.98 |
Sanford Health Plan
| Professional | 26 | $98.69 | $133.26 | $240.20 |