| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.58 | $46.39 | $82.41 |
Hally Health
| Professional | 26 | $28.70 | $41.55 | $141.28 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Liver & Spleen Imaging W/Vascular Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.58 | $46.39 | $82.41 |
Hally Health
| Professional | 26 | $28.70 | $41.55 | $141.28 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |