| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.07 | $126.07 | $126.07 | |
Cigna
| Professional | $58.65 | $58.65 | $58.65 | |
MVP Health Care
| Professional | $58.65 | $58.65 | $58.65 |
Supply Of Injectable Contrast Material For Use In Echocardiography Per Study (Special Coverage Instructions Apply. See Mcm: 15360)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.07 | $126.07 | $126.07 | |
Cigna
| Professional | $58.65 | $58.65 | $58.65 | |
MVP Health Care
| Professional | $58.65 | $58.65 | $58.65 |