| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.05 | $23.76 | $32.15 |
Hally Health
| Professional | 26 | $16.09 | $23.36 | $86.50 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Cineradiograpy/Vidradiograpy Routine Examination
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.05 | $23.76 | $32.15 |
Hally Health
| Professional | 26 | $16.09 | $23.36 | $86.50 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |