| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.16 | $115.58 | $157.55 |
Hally Health
| Professional | 26 | $79.30 | $114.46 | $456.54 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Prq Transhepatc Portograpy W/O Hemodyn Evl Intrp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $63.16 | $115.58 | $157.55 |
Hally Health
| Professional | 26 | $79.30 | $114.46 | $456.54 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |