| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.92 | $41.38 | $57.35 |
Hally Health
| Professional | 26 | $28.12 | $41.67 | $134.56 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Aortography Thoracic W/O Serialography Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.92 | $41.38 | $57.35 |
Hally Health
| Professional | 26 | $28.12 | $41.67 | $134.56 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |