| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.54 | $61.14 | $107.90 |
Hally Health
| Professional | 26 | $48.42 | $70.55 | $250.66 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Acute Gastrointestinal Blood Loss Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.54 | $61.14 | $107.90 |
Hally Health
| Professional | 26 | $48.42 | $70.55 | $250.66 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |