| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.14 | $32.25 | $55.89 |
Hally Health
| Professional | 26 | $19.98 | $28.00 | $96.08 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Mechanical Rmvl Intraluminal Obstr Matrl Rs&I
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.14 | $32.25 | $55.89 |
Hally Health
| Professional | 26 | $19.98 | $28.00 | $96.08 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |