| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $1,604.48 | $1,604.48 | $1,604.48 |
Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $1,604.48 | $1,604.48 | $1,604.48 |