| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.10 | $27.10 | $27.10 |
Health Alliance Plan
| Facility | 26 | $18.60 | $18.60 | $27.10 |
Pulmonary ventilation imaging (eg, aerosol or gas)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.10 | $27.10 | $27.10 |
Health Alliance Plan
| Facility | 26 | $18.60 | $18.60 | $27.10 |