| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $331.13 | $363.08 | |
Aetna
| Professional | $66.07 | $66.07 | $66.07 | |
Sanford Health Plan
| Professional | $23.99 | $23.99 | $23.99 |
Unlisted pulmonary service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $331.13 | $363.08 | |
Aetna
| Professional | $66.07 | $66.07 | $66.07 | |
Sanford Health Plan
| Professional | $23.99 | $23.99 | $23.99 |