| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.11 | $58.20 | $129.33 |
Hally Health
| Professional | 26 | $59.09 | $88.43 | $333.99 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Radiologic Exam Small Int Double Contrast Study
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.11 | $58.20 | $129.33 |
Hally Health
| Professional | 26 | $59.09 | $88.43 | $333.99 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |