| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.76 | $55.76 | $55.76 |
Medcost
| Facility | 26 | $95.72 | $110.00 | $197.07 |
Myelograpy 2/More Regions Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.76 | $55.76 | $55.76 |
Medcost
| Facility | 26 | $95.72 | $110.00 | $197.07 |