| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.81 | $14.27 | $17.12 |
Hometown Health
| Professional | 26 | $0.14 | $18.10 | $23.25 |
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.81 | $14.27 | $17.12 |
Hometown Health
| Professional | 26 | $0.14 | $18.10 | $23.25 |