| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.14 | $30.28 | $65.81 |
Hally Health
| Professional | 26 | $30.94 | $45.01 | $108.12 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Radiologic Exam Phrnx&/Crv Esoph Contrast Study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.14 | $30.28 | $65.81 |
Hally Health
| Professional | 26 | $30.94 | $45.01 | $108.12 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |