| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $179.40 | $179.40 | $179.40 |
Radiologic Exam Phrnx&/Crv Esoph Contrast Study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $179.40 | $179.40 | $179.40 |