| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $122.62 | $160.96 | |
Hally Health
| Professional | $56.81 | $110.50 | $187.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |
Anes 2/3 Dgr Brn Exc/Dbrdmt W/Wo Grf Ea 9% Tbs
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $122.62 | $160.96 | |
Hally Health
| Professional | $56.81 | $110.50 | $187.00 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 |